Scribd Logo
Upload

Welcome to Scribd!

  • CAECAL GIST Discussion

    Uploaded by

    vignoth23112000
    8 views16 pages
    This 65-year-old female presented with 3 months of abdominal pain localized to the right lower abdomen. Imaging revealed an ill-defined 5x6x5cm soft tissue lesion involving the cecum, suggestive of a gastrointestinal stromal tumor (GIST). Further, multiple liver lesions were seen, likely representing metastases. The patient is scheduled for an exploratory laparotomy to further evaluate and resect the cecal mass.

    Original Description:

    Caecal GIST case

    Original Title

    CAECAL GIST discussion

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This 65-year-old female presented with 3 months of abdominal pain localized to the right lower abdomen. Imaging revealed an ill-defined 5x6x5cm soft tissue lesion involving the cecum, suggestive of a gastrointestinal stromal tumor (GIST). Further, multiple liver lesions were seen, likely representing metastases. The patient is scheduled for an exploratory laparotomy to further evaluate and resect the cecal mass.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    8 views16 pages

    CAECAL GIST Discussion

    Uploaded by

    vignoth23112000
    This 65-year-old female presented with 3 months of abdominal pain localized to the right lower abdomen. Imaging revealed an ill-defined 5x6x5cm soft tissue lesion involving the cecum, suggestive of a gastrointestinal stromal tumor (GIST). Further, multiple liver lesions were seen, likely representing metastases. The patient is scheduled for an exploratory laparotomy to further evaluate and resect the cecal mass.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 16

    CAECAL GIST

    INDRANI
    65/F
    Came with complaints of abdominal pain for 3 months
    Insidious and progressive
    Localized to the right side of lower abdomen
    Pricking type of pain
    Not referred or radiated
    Nil other complaints
    PAST HISTORY

     k/c/o Systemic Hypertension- 2 months


     H/o ?Hemithyroidectomy done 25 years ago- details unavailable
     No other surgical history
    GENERAL EXAMINATION

     O/E:
     Pt conscious
    oriented
    afebrile/ hydration fair
    No pallor/icterus/cyanosis /clubbing/pedal edema/ generalized lymphadenopathy

    S/E: CVS- S1S2 +


    VITALS :
    RS- BAE+
    BP-130/70mmHg
    CNS- B/L PERL 3mm+ PR-82/min
    SpO2- 98% in RA
    PER ABDOMEN EXAMINATION:

    INSPECTION PALPATION
     SCAPHOID ABDOMEN  SOFT
     UMBLICUS IN MIDLINE  NO WARMTH OR TENDERNESS +
     ALL QUADRANTS MOVE EQUALLY  NO MASS/ ORGANOMEGALY
    WITH RESPIRATION  NO GUARDING /RIGIDITY
     NO DILATED VEINS,SCARS AND
    SINUSES
     HERNIAL ORIFICES FREE/FLANKS FREE
     EXTERNAL GENITALIA NORMAL
     LEG RAISING NEGATIVE
     NO VGP/VIP
    PER VAGINAL EXAMINATION PER RECTAL EXAMINATION
     CERVIX SOFT  SPHINCTER TONE NORMAL
     NO MASS/BLEED PV  NO MASS/BLEED PR
     LATERAL FORNICES FREE  FECAL STAIN+
     POSTERIOR FORNIX - NORMAL
    INVESTIGATIONS INVESTIGATIO BLOOD VALUE
    N
    WBC 8,500
    HB 11.5
    PLT 3,20,000
    VIRAL MARKERS- NON REACTIVE
    RBS 128
    COAGULATION PROFILE- WNL UREA 25
    CREATININE 0.9
    ECHO-NORMAL STUDY
    TB 0.4
    DB 0.2
    SGOT 26
    SGPT 14
    ALP -
    T. PROTEIN 6.07
    S.ALBUMIN 3.4
    NA/K 139/4.0
    CT ABDOMEN

     Ill defined exophytic hetero-dense soft tissue lesion measuring 5*6*5.4 cm noted over the medial
    aspect of caecum , loss of fat plane between the lesion and caecum and the terminal ileum
     No e/o adjacent lymph nodes
     No evidence of free fluid in pelvis
    ?GIST
    Suggested contrast correlation
     Well defined cystic lesion 2*3 cm and 3*4.5 cm noted in the segment VII and segment I / IV of liver
    -cyst
    PLAIN CT
    ABDOMEN
    CECT ABDOMEN

     Ill defined heterogenous enhancing exophytic soft tissue lesion measuring 5*6*5 cm noted in the medial aspect of
    caecum with loss of fat plane between the caecum, terminal ileum and lesion- likely GIST
     No evidence of significant adjacent lymphadenopathy
     No free fluid in pelvis
     Multiple peripheral enhancing heterogenous lesions noted in the Rt lobe of liver, largest measuring 4*3 cm near the
    confluence of hepatic vein (segment 4 and 8)- ?metastasis
    CONTRAST CT
    ABDOMEN
    COLONOSCOPY

     Scope passed upto caecum/ ileocaecal junction


     No growth visualised in the ileocaecal junction
    STAGING

    T3N0M1- STAGE 4
    (AJCC CLASSIFICATION)
     CASE DISCUSSED WITH SURGICAL GASTROENTEROLOGIST WITH THE PREVIOUS
    INVESTIGATIONS-

    PATIENT TO BE TAKEN UP FOR EXPLORATORY LAPAROTOMY AND PROCEED


    CURRENT PLAN OF ACTION

    EXPLORATORY LAPAROTOMY AND PROCEED


    THANK YOU

    You might also like