IJCM  Vol.4 No.11 , November 2013
Jejunal Stromal Tumor Revealed by a Digestive Hemorrhage
ABSTRACT

Introduction: Gastro intestinal stromal tumors are rare which can arise at any age, mostly between 50 and 60 years old. They are characterized by the expression on the surface of their cells, a specific gene c-kit. They can be located in any segment of the digestive tract, with a preference for the stomach (60%). The jejunum location is found in 200% to 30% of the cases. The originality of our observation is the revelation of a stromal jejunum tumor by a digestive bleeding. Case Report: A 71-year-old man was admitted in emergencies for a low digestive plentiful bleeding with state of hypovolemia shock. Result: The operation was performed after stabilization of his dynamic state and blood transfusion and we discovered a jejunal stromal tumor in operation. The follow-up was simple with a good evolution under treatment by Imatinib. Conclusion: Stromal digestive tumors are rare which can interest all the segments of the digestive tract and their diagnosis must be often evoked in front of any digestive bleeding.


Cite this paper
M. Moujahid, I. Ennafae, M. Ghari, K. Chekoura, Y. Issaoui and M. Tahiri, "Jejunal Stromal Tumor Revealed by a Digestive Hemorrhage," International Journal of Clinical Medicine, Vol. 4 No. 11, 2013, pp. 485-487. doi: 10.4236/ijcm.2013.411085.
References
[1]   I. Serraj, L. Amrani, I. Atitar, et al., “Jejunal Stromal Tumor Revealed by a Digestive Bleeding: One More Endoscopic Video Capsula,” GECB, Vol. 32, No. 12, 2008, pp. 1022-1024.

[2]   D. A. Sass, K. B. Chopra, S. D. Finkelstein, et al., “Jejunal Gastrointestinal Stromal Tumor: A Cause of Obscure Gastrointestinal Bleeding,” Archives of Pathology & Laboratory Medicine, 2004, Vol. 128, No. 2, pp. 214-217.

[3]   M. G. Lapalus, V. Hervieu, A. Crombe, et al., “Stromal Tumor in the Small Intestine: A Multi Technical Diagnostic Approach by Video-Capsule and Entero Scanner,” GECB, Vol. 29, 2005, pp. 1183-1185.

[4]   L. M. Marín-Gómez, V. Vega-Ruiz, M. A. García-Ureña, et al., “Diagnosis and Satisfactory Surgical Treatment of a Jejuna Stromal Tumor,” Revista de Gastroenterología de México, Vol. 73, No. 1, 2008, pp. 33-35.

[5]   D. A. Sass, K. B. Chopra, et al., “Jejunal Gastrointestinal Stromal Tumor Acause of Obscure Gastrointestinal Bleeding,” Archives of Pathology & Laboratory Medicine, Vol. 128, 2004, pp. 214-217.

[6]   A. Neuhaus and R. J. Bold, “Images in Surgery. Small Bowel Stromal Cell Tumor,” The American Journal of Surgery, Vol. 179, No. 4, 2000, p. 252.
http://dx.doi.org/10.1016/S0002-9610(00)00329-9

[7]   G. Macaigne, J. F. Boivin, J. P. Colombu, et al., “Stromal Tumor with Fibers in Hank of the Small Intestine Revealed by a Digestive Bleeding,” GECB, Vol. 25, No. 6-7, 2001, p. 717.

[8]   O. Ciobotaru, O. R. Ciobotaru and C. Dragomir, “Stromal Tumors of Jejunaum and Ileum,” Revista Medico Chirurgicala a Societatii de Medici si Naturalisti din Iasi, Vol. 115, No. 1, 2011, pp. 111-115.

[9]   A. K. Dhull, V. Kaushal, R. Dhankhar, et al., “The Inside Mystery of Jejunal Gastrointestinal Stromal Tumor: A Rare Case Report and Review of the Literature,” Case Reports in Oncological Medicine, Vol. 2011, 2011, Article ID: 985242.

[10]   M. Kubokawa, K. Akahoshi, H. Matsuzaka, et al., “Jejunal Stromal Tumor,” Gastrointest Endosc, Vol. 60, No. 4, 2004, pp. 600-601.
http://dx.doi.org/10.1016/S0016-5107(04)01875-9

[11]   M. L. Wall, M. A. Ghallab, M. Farmer, et al., “Gastrointestinal Stromal Tumour Presenting with Duodenal-Jejunal Intussusceptions: A Case Report,” Annals of The Royal College of Surgeons of England, Vol. 92, No. 7, 2010, pp. 32-34.
http://dx.doi.org/10.1308/147870810X12822015504527

[12]   R. R. Carter, S. N. Mundluru, D. J. Margolin, “Small Bowel Gastrointestinal Stromal Tumor: An Unusual Cause of Massive Lower Gastrointestinal Bleeding,” Am Surg., Vol. 76, No. 2, 2010, pp. 229-231.

[13]   M. A. Beltran and K. S. Cruces, “Primary Tumors of Jejunum and Ileum as a Cause of Intestinal Obstruction: A Case Control Study,” International Journal of Surgery, Vol. 5, No. 3, 2007, pp. 183-191.
http://dx.doi.org/10.1016/j.ijsu.2006.05.006

[14]   Y. Oida, M. Motojuku, G. Morikawa, et al., “Laparoscopic-Assisted Resection of Gastrointestinal Stromal Tumor in Small Intestine,” Hepato-Gastroenterology, Vol. 55, 2008, pp. 146-149.

[15]   B. Landi, T. Lecomte, A. Berger, et al., “Treatment of Digestive Stromal Tumors,” GECB, Vol. 28, 2004, pp. 893-901.

[16]   C. Caliskan, O. Makay and M. Akyildiz, “Massive Gastrointestinal Bleeding Caused by Stromal Tumour of the Jejunum,” Canadian Journal of Surgery, Vol. 5, 2009, p. 52.

 
 
Top