CASE REPORT   

Il Giornale Italiano di Radiologia Medica 2019 Marzo-Aprile;6(2):128-33

DOI: 10.23736/S2283-8376.19.00169-4

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English, Italian

Incidental finding of a gastro-intestinal stromal tumor of the transverse colon and of a duplication of the inferior vena cava in a patient with hepatic adenoma

Giuseppe DI GIOVANNI ¹ ✉, Raffaella LICINIO ¹, Giulia MUSELLA ², Mariangela CARBONE ², Fabio FUCILLI ¹

¹ Department of Radiology, Scientific Istitute for Digestive Diseases IRCCS “Saverio De Bellis”, Castellana Grotte, Bari, Italy ; ² Department of Radiology, Policlinic of Bari, “Aldo Moro” University of Bari, Bari, Italy

Gastrointestinal stromal tumors (GIST) are the most common mesenchymal neoplasms of gastrointestinal tract and transverse colon represents a very rare localization. Symptomatology, extremely variable and vague, is more often represented by abdominal pain and discomfort, bowel obstruction, nausea, vomiting and blood in the stool, caused by ulcerations of bulky neoplasms. However, diagnosis is often occasional, especially in cases of small GIST. We present a case of a young woman: she came to our attention because an abdomen ultrasound, previoulsy performed, showed a focal lesion of the right hepatic lobe. Computed Tomography (CT) exam characterized the lesion and revealed the presence of a duplication of the Inferior Vena Cava (IVC) and of a solid neoplasm of the transverse colon, confirmed by colonscopy and histologic examination as a GIST without nodal or hepatic metastases.

KEY WORDS: Gastrointestinal stromal tumors; Colon, transverse; Vena cava, inferior; Adenoma, liver cell; Tomography, X-ray computed