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J Acute Care Surg > Volume 11(3); 2021 > Article
Journal of Acute Care Surgery 2021;11(3):129-132.
DOI: https://doi.org/10.17479/jacs.2021.11.3.129    Published online November 23, 2021.
A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management
Yagan Pillay  , Oladapo Mabadeje
Department of General Surgery, University of Saskatchewan, Saskatchewan, Canada
Correspondence:  Yagan Pillay,
Email: yagan2pillay@yahoo.ca
Received: 26 March 2021   • Revised: 19 May 2021   • Accepted: 20 May 2021
Abstract
A gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9–19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal bleed, of which, they are responsible for less than 1% of all gastrointestinal bleeding. In an elective setting, surgical management remains the mainstay of treatment. In this Case Report, the emergent management of a localized duodenal resection was performed by an acute care surgeon, in an unstable patient. The risk factors for malignancy include tumor size and a high mitotic cell index. Tumor recurrence is determined by tumor size, tumor rupture, high mitotic cell index, a non-gastric location and gastrointestinal bleeding.
Key Words: bleeding, duodenum, gastrointestinal stromal, gastrointestinal neoplasms, tumors


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