scholarly journals Abdominal cyst of unclear aetiology: gastrointestinal stromal tumour or reactivation of abdominal tuberculosis

2022 ◽  
Vol 15 (1) ◽  
pp. e245767
Author(s):  
Damini Saxena ◽  
Robert A Duncan ◽  
Robert R Faust ◽  
Anthony Campagna
Keyword(s):  
Abdominal Mass ◽  
Gastrointestinal Stromal Tumour ◽  
Abdominal Tuberculosis ◽  
Definitive Diagnosis ◽  
Stromal Tumour ◽  
Antituberculous Therapy ◽  
Spindle Cells ◽  
Inflammatory Processes ◽  
History Of ◽  
Abdominal Cyst

Differential diagnosis of a new abdominal mass is broad and includes infection, malignancy and other inflammatory processes. Definitive diagnosis may be challenging without invasive biopsy, as history, physical exam and imaging may be non-specific. A 69-year-old man with a history of abdominal tuberculosis presented with a new painful abdominal cyst consistent with reactivation of tuberculosis versus new malignancy. Investigations revealed 4+ acid-fast bacilli from the aspirate suggestive of tuberculosis, but no improvement was noted on antituberculous therapy. Core needle biopsy noted c-KIT-positive spindle cells, diagnostic for a gastrointestinal stromal tumour, while cultures grew non-tuberculous mycobacteria.

scholarly journals Mesenteric lipomatosis presenting as abdominal mass with concurrent ileal gastrointestinal stromal tumour (GIST): an unusual presentation

2018 ◽  
Vol 5 (10) ◽  
pp. 3414
Author(s):  
Suma S. ◽  
Shashirekha C. A. ◽  
Ravikiran H. R. ◽  
Vikranth S. N.
Keyword(s):  
Abdominal Mass ◽  
Gastrointestinal Stromal Tumour ◽  
Stromal Tumour ◽  
Whole Body ◽  
Sarcomatous Change ◽  
Antimesenteric Border ◽  
Small Bowel Mucosa ◽  
Benign Tumours ◽  
Mesenteric Lipoma ◽  
Bowel Mucosa

Lipomas are benign tumours consisting of mature fatcells and are perhaps the most common neoplasm. It can be solitary or multiple occurring throughout the whole body, but it can rarely originate in the intestinal mesentery. These tumours have very little potential for malignancy with the incidence of sarcomatous change in less than 1% of cases. Concurrent occurrence of gastrointestinal stromal tumour which arises from the mesenchymal components of the gastric and small bowel mucosa is a rarity. Here we present a rare case of mesenteric lipomatosis presenting as mass per abdomen which on evaluation and exploration of abdomen turned out to be multiple mesenteric lipomas with another hard mass arising from the antimesenteric border of the small intestine (ileum), for which mesenteric lipoma excision and resection of hard mass along with the segment of ileum and end to end anastomosis was done.

scholarly journals Primary omental gastrointestinal stromal tumour (GIST) presenting with a large abdominal mass and spontaneous haemoperitoneum

2014 ◽  
Vol 2014 (nov03 1) ◽  
pp. bcr2014205528-bcr2014205528 ◽  
Author(s):  
I. Seow-En ◽  
F. Seow-Choen ◽  
T. K. H. Lim ◽  
W. Q. Leow
Keyword(s):  
Abdominal Mass ◽  
Gastrointestinal Stromal Tumour ◽  
Stromal Tumour

scholarly journals INTESTINAL TUBERCULOSIS

2010 ◽  
Vol 17 (04) ◽  
pp. 532-537
Author(s):  
KHURRAM NIAZ ◽  
MUHAMMAD ASHRAF
Keyword(s):  
Abdominal Mass ◽  
Operative Procedure ◽  
Intestinal Tuberculosis ◽  
Diagnostic Algorithm ◽  
Abdominal Tuberculosis ◽  
Right Hemicolectomy ◽  
Demographic Variables ◽  
Surgical Department ◽  
Abdominal Symptoms ◽  
History Of

Objective: To find out the effective diagnostic algorithm (clinical features and investigations) for intestinal tuberculosis. Design: A retrospective study. Place and Duration of Study: B.V. Hospital Bahawalpur, June 2007 -2009. Patients and Methods: 100 cases of diagnosed abdominal tuberculosis were included in the study. Demographic variables, symptomology, investigations and management detail were recorded from the hospital record of surgical department of B.V. Hospital Bahawalpur. Results: Out of 100 diagnosed cases of intestinal T.B, 55 patients were male. 62 patients were bellow 30 years. Most Common presentation was obstruction (29 %), peritonitis (18%) Abdominal distention (20%) and Abdominal Mass (15%), Histopathology (97%) and laparoscopy (82%) were most sensitive. Operative procedure were right Hemicolectomy (26%), resection Anastomosis (23%), stricturoplasty (13%0, Ileostomy (9%), adhesiolysis (17%). Conservativelymanaged patients on anti-tuberculous therapy (ATT) were (12%). Wound infection and dehiscence (12%) were the common complications. Four patients died. Conclusions: All patients with prolonged history of weight loss, vague health and non specific abdominal symptoms and those who are under consideration for intestinal tuberculosis should follow the protocol comprising histopathology (laparoscopic/ USG guided /open), complemented by the diagnostic laparoscopy and radiological studies. 

Imatinib-induced haematuria necessitating drug discontinuation

2020 ◽  
Vol 4 (3) ◽  
pp. 121-123
Author(s):  
Anandu Hemakumar ◽  
Keechilat Pavithran
Keyword(s):  
Kinase Inhibitors ◽  
Advanced Disease ◽  
Gastrointestinal Stromal Tumour ◽  
Stromal Tumour ◽  
Drug Discontinuation ◽  
Gastrointestinal Stromal Tumours ◽  
Old Adult ◽  
History Of ◽  
Improvement In Survival ◽  
Gross Haematuria

Gastrointestinal stromal tumours are rare neoplasms of the gastrointestinal tract that are mesenchymal in origin. The introduction of tyrosine kinase inhibitors resulted in significant improvement in survival of patients with gastrointestinal stromal tumour even in advanced disease conditions. A 43-year-old adult male who is a known case of gastrointestinal stromal tumour of the stomach, on adjuvant therapy with imatinib, presented with a history of gross haematuria of several episodes as well as persistent microhaematuria and was evaluated for the same. He was investigated for all possible causes, but all were negative. The patient was advised to withhold imatinib. Haematuria resolved 1 month after stopping imatinib. Then it was rechallenged. He had recurrence of symptoms, so it was discontinued. In view of the temporal relation of haematuria and administration of imatinib, a diagnosis of imatinib-induced haematuria was made.

scholarly journals Hemangiopericytoma in a female dog with direct invasion of abdominal cavity and pulmonary metastasis

2014 ◽  
Vol 44 (2) ◽  
pp. 358-361
Author(s):  
Elisângela Olegário da Silva ◽  
Fernanda Romero ◽  
Kerriel Thandile Green ◽  
Maria Isabel Mello Martins ◽  
Ana Paula Frederico Rodrigues Loureiro Bracarense
Keyword(s):  
Pulmonary Metastasis ◽  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Definitive Diagnosis ◽  
Immunohistochemical Examination ◽  
Direct Invasion ◽  
Spindle Cells ◽  
History Of ◽  
Left And Right ◽  
Inguinal Glands

An intact adult female Poodle dog was presented with a history of an increase in volume in the left and right mammary inguinal glands. The histopathological examination revealed a proliferation of spindle cells arranged in bundles with concentric arrangements surrounding blood vessels, occasionally collapsed. Three weeks after the surgery, the animal presented a recurrence of the tumor that extended from the left inguinal mammary gland to the vulva. Necropsy revealed direct invasion of the abdominal cavity by the tumor and pulmonary metastasis. The definitive diagnosis of hemangiopericytoma was made by histopathological and immunohistochemical examination. Pulmonary metastasis of CHP (canine hemangiopericytoma) is rare and there is no previous report of direct invasion to the abdominal cavity as observed in the present case.

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