Abstract:

Aim: Approximately 90% of adnexal masses are benign and located in the upper ranks among gynecologic hospitalizations. Gastrointestinal system adnexal masses are less common when compared with gynecological causes. Gastrointestinal stromal tumors GIST are responsible for less than 1% of all gastrointestinal tumors. Clinical symptoms may include bleeding, pain, anorexia, swallowing difficulty, jaundice due to tumor size and localization.Case: 48 years old, G3 P3, female patient presented to our clinic with complaints of menstrual irregularity and left groin pain. On the gynecologic examination on the left adnexal area moving and rigid mass was palpable. 7×6 cm solid, heterogeneous mass in the upper-anterior region of the uterus and bladder was observed. The mass was evaluated as subserous pedunculated fibroid. In the tomography report adnexial mass and myom couldn’t be distinguished. Abdominal exploration was through a Pfannensteil incision. A 6x6.5 cm well-circumscribed mass in jejunum was identifed on observation. The mass was excised with segmental resection and the bowel was repaired by end to end anastomosis. The specimen was sent to paraffin evaluation. Pathology result was reported as GIST. On the postoperative third day, the patient was discharged without complications.Discussion: In case of differential diagnosis of adnexal masses, especially which are mobile, small intestinal masses should also be considered. While gastrointestinal stromal tumors are usually benign, the exact treatment is surgical resection. However, it’s necessary to evalaute all prognostic factors to consider medical treatment.

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