A Ruptured Gastrointestinal Stromal Tumor of Jejunum Causing Acute Abdomen

Gastrointestinal stromal tumors are the rare form of the small bowel tumors. The foremost symptoms of small bowel tumors are bleeding, obstruction, and perforation. A 61-year-old female was admitted with abdominal pain, nausea and vomit-ing lasting for 2 days. Computed tomography investigation revealed a mass of small bowel in 2×5 cm size. On exploration a perforated tumor originated from a jejunal segment 45 cm distal from the ligament of Treitz was identified. Segmen-tal resection and primary anastomosis were performed. The histopathologic and immunohistochemical investigation demonstrated gastrointestinal stromal tumor arising from small bowel. Immunohistochemically, the neoplastic cells strongly stained with CD117, desmin, and CD34 antibodies. Postoperatively, the patient was treated by oral administration of 400 mg/day of imatinib. Surveillance ab-dominal computed tomography scan at six months was unremarkable. Physicians should be kept this rare entity in mind for prolonged survival and accurate treat-ment including oncologic surgery.