BMJ Case Reports 2017; doi:10.1136/bcr-2016-217424

Conventional transanal excision for a very low gastrointestinal stromal tumour

  1. Nikolaos Machairas
  1. Second Department of Propaedeutic Surgery, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  1. Correspondence to Dr Georgios C Sotiropoulos, georgios.sotiropoulos{at}
  • Accepted 3 April 2017
  • Published 21 April 2017


Gastrointestinal stromal tumour (GIST) represents a rare tumour entity, which has been more intensively investigated during the last decade. The rectum as the primary site of GIST is even uncommon. The space constraints in the pelvis renders optimal oncological surgery demanding and proximity of these lesions to the anal sphincter enhances the potential morbidity of any radical surgery. We herein report on a young patient with a >5 cm rectal GIST localised at 1 cm from the anorectal junction.


  • Contributors GCS, PS, SK, NM: Conception and design, acquisition of data or analysis and interpretation of data. GCS, PS, SK, NM: Drafting the article or revising it critically for important intellectual content. GCS: Final approval of the version published. GCS: Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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