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An incidental finding of duodenal gastrointestinal stromal tumor (dGIST): a case report

Title: An incidental finding of duodenal gastrointestinal stromal tumor (dGIST): a case report
Authors: Nazir, Absar; Rehman, Nadir Khurram; Khalid, Fizza; Arshad, Arishba
Source: Annals of Medicine & Surgery ; volume 88, issue 1, page 866-870 ; ISSN 2049-0801
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2025
Description: Introduction: Duodenal gastrointestinal stromal tumors (dGISTs) are rare mesenchymal tumors of the gastrointestinal tract, comprising only 4–5% of them. Usually they are presented with a longstanding history of an abdominal mass, blood in stools or obstruction symptoms. But in our case, the patient presented with a 10-day history of fever along with an abdominal swelling and is recovering well on imatinib therapy after surgery. Case Presentation: Here, we document a case of an unusual presentation of dGIST with a short history of fever and abdominal mass, which incidentally got diagnosed and treated with surgery and imatinib. Clinical Discussion: The presentation of dGIST with acute, nonspecific symptoms of fever and abdominal mass is unusual, which delays its diagnosis. Complete surgical resection with or without tyrosine kinase inhibitors remains the mainstay of curative treatment. Conclusion: This case signifies the importance of considering dGIST even in patients with a short history of abdominal symptoms. Early diagnosis and surgical management helps in achieving favorable outcomes.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1097/ms9.0000000000004404
DOI: 10.1097/MS9.0000000000004404
Availability: https://doi.org/10.1097/ms9.0000000000004404; https://journals.lww.com/10.1097/MS9.0000000000004404
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.CA3706BF
Database: BASE