DOI: 10.36347/sjmcr.2016.v04i10.027

Pages: 792-794

Gastrointestinal stromal tumors (GISTs) are mesenchymal tumors that make < 1% of all gastrointestinal neoplasms and 20% of small bowel neoplasms. The most common acute presenting symptom of these tumors is gastrointestinal hemorrhage with obstruction being rare. This report describes a 65 year old male who presented with features of perforation in emergency. On his USG abdomen, he was found to have an ill-defined multiseptated lesion containing necrotic areas showing vascularity in the right iliac fossa with inflammation of surrounding mesentery and moderate collection in peritoneal cavity. He underwent exploratory laparotomy in emergency and was found to have 10-cm pedunculated lesion in the distal jejunum with rotation of the bowel on its mesenteric root in a meso-axial manner with attachment to base of mesoapendix. The literature on this rare modality and its management is briefly reviewed.