Informe de Caso: tumor de estroma gastrointestinal mesentérico (EGIST)

Abstract

Extragastrointestinal stromal tumors are rare mesenchymal neoplasms that can occur in the omentum and mesentery. A clinical case of an elderly person from Cuenca is presented, the patient has symptoms like: pain, abdominal distension, lack of elimination of gases and feces of 24 hours of evolution, the physical examination showed a distended abdomen, diffuse palpation pain, increased hydro noise. The patients was surgically intervened, a tumor was found 80 cm from the mesoenterium-dependent ileocecal valve, approximately 7x6 cm that involved intestinal loops; histopathology reported a CD 117 positive extra gastrointestinal stromal tumor; patient evolved favorably, ambulation began at 24 hours and liquid diet at 72 hours with good tolerance, medical discharge was decided on the fifth day after surgery. Start oncological treatment at 4 months after surgery with imatinib 400mg, currently a patient with favorable evolution without recurrence.