International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 12 | Case Report | Open Access DOI
Rizwanullah Ullah*
Bhatta M1, Ifatujjahan FNU2, Hidayat A3, Jamali AG4, Ullah R3*and Faraj M5
1Department of Medicine, West Herdfortshire NHS Trust Watford, United Kingdom
2Department of Medicine, Shaheed Ziaur Rahman Medical College, Bangladesh
3Department of Medicine, Hayatabad Medical Complex, Pakistan
4Department of Medicine, Liaquat University of Medical and Health sciences, Pakistan
5Department of Emergency Medicine, Wayne State University, USA
*Correspondence to: Rizwanullah Ullah
Fulltext PDFGastrointestinal Stromal Tumors (GISTs) are rare mesenchymal tumors that can develop throughout the gastrointestinal tract, with the majority occurring in the stomach and small intestine. While common presentations include abdominal pain and gastrointestinal bleeding, atypical cases can pose diagnostic challenges. We present a unique case of a 45-year-old man who exhibited prolonged fever as the sole presenting symptom, ultimately diagnosed as a mid-ileal GIST with central ischemic degeneration. Diagnostic workup revealed an 8 cm × 8 cm cavitary lesion on contrast-enhanced CT imaging, confirmed histologically as a spindle cell GIST with low mitotic activity. Surgical resection with end-to-end bowel anastomosis resulted in favourable outcomes. This case highlights the importance of systematic evaluation in pyrexia of unknown origin and emphasizes a multidisciplinary approach to managing atypical GIST presentations.
Gastrointestinal stromal tumor (GIST); Pyrexia of unknown origin (PUO); Small intestine tumor; Spindle cell GIST; Laparoscopic surgery
Bhatta M, Ifatujjahan FNU, Hidayat A, Jamali AG, Ullah R, Faraj M. Prolonged Fever as an Unusual Presentation of a Mid-Ileal Gastrointestinal Stromal Tumor (GIST): A Rare Case Report. Int Clinc Med Case Rep Jour. 2024;3(12):1-4.