A Rare Case of Terminal Ileum Gastrointestinal Stromal Tumor in a Young Caucasian Adult.
Trident Medical Center
abdominal imaging, gastrointestinal bleeding, gastrointestinal neoplasms, gastrointestinal stromal tumor (gist), terminal ileum
Digestive System Diseases | Internal Medicine | Medicine and Health Sciences | Neoplasms
Gastrointestinal stromal tumors (GISTs) are rare in young individuals and typically affect older adults. We present the case of a previously healthy male who presented with severe hematochezia, fatigue, and dizziness. Colonoscopy did not demonstrate any colonic mass. CT of the pelvis with contrast revealed a pelvic mass measuring 7.4 cm. Biopsy confirmed a low-grade mixed-type GIST of the terminal ileum. Surgical resection was successfully performed. Histopathological analysis further characterized the tumor, and the patient was discharged with consideration of adjuvant imatinib therapy. This case underscores the importance of thorough diagnostic evaluation and multidisciplinary management for atypical presentations of gastrointestinal bleeding in young patients.
Publisher or Conference
Rao AK, Anthony T, Ravenel J, Kosko J, Whitaker I. A Rare Case of Terminal Ileum Gastrointestinal Stromal Tumor in a Young Caucasian Adult. Cureus. 2023;15(12):e51340. doi:10.7759/cureus.51340