EURORAD ESR

Case 9045

Gastrointestinal stromal tumour with midgut volvulus

Author(s)
Mehtab Ahmad1, Mohd Khalid1, Saifullah Khalid1, Mohammed Azfar Siddiqui1, Rajesh Reddu1 , Faroze Ahmad2
1 Department of Radiodiagnosis, Jawaharlal Nehru Medical College, A.M.U., Aligarh
2 Department of Surgery, Jawaharlal Nehru Medical College, A.M.U., Aligarh
 
Patient
female, 28 year(s)
 
 
  • Figure 1
    Abdominal US
     

    Large, slightly mobile heterogeneous mass lesion with central cystic areas.

     

    Coiled bowel loops distal to the pylorus with altered relationship of the superior mesenteric vessels.

     
     
     
  • Figure 2
    CT abdomen, scout view

    Soft tissue lesion in right lower quadrant with absence of bowel gas.

     
    Area of Interest: Abdomen;
     
     
  • Figure 3
    Contrast-enhanced CT of the abdomen
     

    Heterogeneously enhancing, large soft tissue mass with central cystic areas in the pelvis and indistinct fat planes with the wall of sigmoid colon.

     

    Coiled bowel loops around mesenteric vessels (CT whirlpool sign).

     
     
     
  • Figure 4
    Peroperative finding

    Large mass indistinct from the bowel wall, resection and anastomosis was done.

     
     
     
Large, slightly mobile heterogeneous mass lesion with central cystic areas.
 
Coiled bowel loops distal to the pylorus with altered relationship of the superior mesenteric vessels.
 
Soft tissue lesion in right lower quadrant with absence of bowel gas.
 
Heterogeneously enhancing, large soft tissue mass with central cystic areas in the pelvis and indistinct fat planes with the wall of sigmoid colon.
 
Coiled bowel loops around mesenteric vessels (CT whirlpool sign).
 
Large mass indistinct from the bowel wall, resection and anastomosis was done.
 
 
 
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