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Rare disease
Case report
Gastrointestinal stromal tumour masquerading as a diverticular bleed
  1. Ebrahim Mirakhor1,
  2. Mary T Wong2 and
  3. Laith H Jamil1
  1. 1Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
  2. 2Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
  1. Correspondence to Dr Ebrahim Mirakhor; ebrahimmirakhor{at}yahoo.com

Abstract

Gastrointestinal stromal tumours (GISTs) only account for a small percentage of gastrointestinal malignancies with a wide range of clinical presentations depending on the location and size of the tumour. Herein, we present the case of a 55-year-old woman with occult gastrointestinal bleeding (GIB) despite imaging and two separate oesophagogastroduodenoscopy colonoscopies. On double-balloon enteroscopy, an oozing diverticular-appearing lesion in the ileum was identified which on laparoscopy was connected to a large pelvic GIST. This case highlights the importance of considering GISTs in patients with occult GIB, as a high index of suspicion is required for diagnosis.

  • Gastrointestinal system
  • Radiology (diagnostics)
  • Pathology
  • GI bleeding
  • Tyrosine Kinase Inhibitor

https://doi.org/10.1136/bcr-2019-232169

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    Footnotes

    • Contributors EM, MTW and LHJ: conception, design, data acquisition, literature review, interpretation, manuscript composition, critical revision and approval of final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

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