CASE 220:SMALL BOWEL G. I. S T.: Dr LÊ THANH LIÊM, Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Male 65 yo, occult blood stool  (+) in check-up,  then underwent  colonic endoscopy to confirm colon tumor, but only colonic polyp was detected.

Ultrasound pre endoscopy disclosed  a hypoechoic mass in LLQ, semilunar shape, with size of 28x25mm which  one part of contour was regularly round and another part close by lumen gas inside a loop of small bowel . There was vessels into this mass. 

The LLQ mass was thought to be a GIST of small bowel.

CEA rising of 5.38ng/mL

MSCT confirmed  the small bowel GIST later.

Surgery was done, macroscopic result was mural tumor of small bowel. 

Microscopy and immunohistostaining were proved for GIST tumor of small bowel.