University Journal of Surgery and Surgical Specialities
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A Rare Case Report of Perforated Gastrointestinal Stromal Tumour of the Meckel’s Diverticulum
Abstract
Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the gastrointestinal tract, 1/3 being asymptomatic and some presenting with a diverse clinical features; like vague gastric discomfort or ulcer like features and very rarely as an acute abdomen due to bleeding, obstruction, perforation; or due to hemoperitoneum. We present a rare case of a perforated GIST of the meckel’s diverticulum (MD). 34year old female presented as an acute abdomen in the casualty with features of peritonitis localized to right iliac fossa, diagnosed as acute appendicitis and a diagnostic laparoscopy was done. Intraoperatively, a perforated meckel’s diverticulum was found. Histopathological examination showed a low grade GIST. Small bowel is the most common site for a perforated GIST; mostly from the meckel’s diverticulum. The commonest tumour to cause perforation of meckel’s diverticulum is a GIST.
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