Laparoscopic Resection of Ileal Gastro Intestinal Stromal Tumor Presenting as Gastro Intestinal Bleed; a Case Report

Abstract

Gastrointestinal stromal tumors are the rare tumors of GI tract and account for 2% of all the tumors of digestive tract. They are usually found in stomach and are also located in the small intestine. They usually present with mucosal ulceration and gastro intestinal bleeding. The bleeding from the small intestine is difficult to diagnose however angiography is a useful tool. We present a case of a GIST located in the ileum presenting with a lower gastrointestinal bleeding. A patient presenting with lower G.I bleeding was admitted in our hospital The colonoscopy was performed which showed blood coming through the ileal opening into the caecum. Patient was asked to undergo CT enterography, which showed an ileal GIST. The patient was subjected to diagnostic laparoscopy which revealed an ileal Gist 25 cms from ileocaecal junction compressing the ileal lumen. Laparoscopic resection of the diseased segment of bowel with GIST was performed and ileo-ileal side to side anastomosis was done with V-loc sutures.