Gastrointestinal Stromal Tumor of the Jejunum with Active Bleeding Demonstrated on Dual Energy MDCT Angiography: A Case Report

Publication date: Available online 31 October 2017
Source:Current Problems in Diagnostic Radiology
Author(s): Abdul Razik, Kumble Madhusudhan, Abhishek Aggarwal, Rajesh Panwar, Deep N Srivastava
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor of the gastrointestinal tract and may occasionally present with acute gastrointestinal bleed (GIB). Multidetector computed tomography (MDCT) angiography is extremely useful in demonstrating the tumor as well as the presence of active hemorrhage, thereby guiding subsequent interventional or surgical management. We report a case of a 38-year-old male who presented with acute onset melena and compensated shock, whose source of bleed remained elusive on endoscopy. MDCT angiography performed on a dual energy scanner showed a jejunal tumor with active intraluminal contrast extravasation. The tumor was subsequently resected and the patient did well on follow up. This was one of the few instances when MDCT angiography demonstrated active bleeding in a GIST and the first such case demonstrated on a dual energy scanner.



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