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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2024, Number 4

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Cir Gen 2024; 46 (4)

Complete diagnostic protocol in a patient with GIST

Campos-Campos SF, Campos-Palacios IT, Silva-Castro LG, Barragán-Otero J, Soria-Céspedes D, Villavicencio-Pérez MF

Language: Spanish
References: 15
Page: 263-268
PDF size: 384.60 Kb.


ABSTRACT

Gastrointestinal bleeding is a medical emergency that requires immediate attention, considering age and comorbidities. Symptoms range from anemia to melena. It uses panendoscopy as an initial evaluation method. If this is negative, use capsule endoscopy. Gastrointestinal stromal tumors are mainly benign, although 30% are malignant, located in the stomach and small intestine. The first-line intervention treatment is surgical resection and imatinib as therapy. We describe the case of a 51-year-old female patient admitted for burning and colic epigastric pain, nausea, pallor, and multiple melena stools. We transfuse two red blood cell concentrates. After clinical deterioration, different tests were performed, including capsule endoscopy to identify non-visible bleeding and enteroscopy to mark the lesions detected through the capsule. We performed a diagnostic laparoscopy where a subepithelial tumor of the proximal jejunum was identified and resected. Histopathological analysis reveals a low-risk gastrointestinal stromal tumor with negative margins. We referred the patient to oncology for follow-up. Tests such as capsule endoscopy and enteroscopy allow identification of the origin of bleeding in the mid-gastrointestinal tract, as described in this report.


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