A rare case report of unusual presentation of jejunal gastro intestinal stromal tumor

• An Unusual presentation of small intestinal GIST • A mass arising from antimesenteric border of jejunum and was adherent to greater omentum above and lateral peritoneal wall inferiorly • Treatment provided was the complete resection of the mass with post operative chemotherapy with imatinib was started. Gastro intestinal stromal tumours (GIST) are benign to malignant mesenchymal tumours comprising ∼1% of GI malignancies. They are soft tissue sarcomas most commonly arising from GI system. [1–3] Most common site being stomach and rarely arise from other parts of intestines. We present a case of a 49 year old male patient diagnosed with jejunal GIST presented with urinary complaints, and found to have painless abdominal lump which was mobile. Radiological investigations were showing right iliac fossa mass. On surgical exploration, we found a mass arising from antimesenteric border of jejunum and was adherent to greater omentum above and lateral peritoneal wall inferiorly. Complete resection of the tumour with Jejuno-jejunal anastomosis was performed. Histopathology of the excised tumour also confirmed the diagnosis of GIST. GIST commonly found in stomach and rarely in various parts of GI system. Treatment depends on tumour size, type and location. Complete resection followed by chemotherapy if required, is the mainstay of treatment. A GIST can also be considered as a differential diagnosis for abdominal s symptoms which has various presentation and outcome based upon the type and attachment to nearby structures. Surgical resection remains the initial part of management.