Synchronous gastric gastrointestinal stromal tumor (GIST) and other primary neoplasms of gastrointestinal tract: report of two cases
A 50-year-old male presented with history of two episodes of melena and drop in hemoglobin for 3 months. Barium meal study showed an eccentric rounded impression in the gastric fundus. Additionally there was an eccentric impression on the superior wall of the duodenal bulb. Upper GI endoscopy revealed a nodular lesion in the gastric fundus with a central ulcer. Another sessile polyp of about 1 cm size was seen in the first part of duodenum (Fig. , ). Both were thought to be leiomyomas endoscopically. Contrast-enhanced computed tomography (CT) of upper abdomen showed a large nodular lesion in the fundus of stomach and another small lesion in first part of duodenum.