Giant liver hemangioma in patient with ileal gastrointestinal stromal tumor.
2014
Introduction. Gastrointestinal stromal tumors are the most common mesenchymal
neoplasms of the gastrointestinal tract. These tumors represent more than 80%
of all mesenchymal tumors found in the gastrointestinal tract, though they
account for only approximately 3% of all gastrointestinal malignancies.
Literature offers case reports, which describe symptomatic gastrointestinal
stromal tumors and they generally represent patients with larger tumors. Case
report. We present the case of a small gastrointestinal stromal tumor in a
40-year-old man, with associated giant liver hemangioma and fever, and with
history of abdominal discomfort and fever. Clinical examination revealed
hepatosplenomegaly, palpable mass in the right lower abdomen, and signs of
neurofibromatosis type 1 (Morbus von Recklinghausen). Computed tomography
revealed a giant tumor in the right lobe of the liver. Magnetic resonance
showed abscess in the hemangioma of the liver. An intestinal tumor was
incidentally found and excised during surgical laparotomy. An intestinal
gastrointestinal stromal tumor was revealed by histopathology and confirmed
by immunohistochemistry. Although a multidisciplinary team proposed surgical
removal of the liver tumor mass, the surgeons decided to follow up the
patient because of a high risk of new intervention. Conclusion. According to
the available data, this is a very rare case of small intestinal
gastrointestinal stromal tumor, with symptoms of fever and giant abscess in
the liver hemangioma.
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