Synchronous gastric gastrointestinal stromal tumor (GIST) and other primary neoplasms of gastrointestinal tract: report of two cases
A 62-year-old male was admitted with chief complaints of decrease in appetite and painful abdomen for two months. Colonoscopy revealed a large constricting mass in the rectosigmoid colon. CT of the abdomen showed thickening of sigmoid colon and ileum with multiple mesenteric lymph nodes and heterogeneous nodular opacities in pelvis. The patient was taken up for surgery of advanced adenocarcinoma of colon. A nodule was found perioperatively in fundus of stomach which was thought to be metastatic in nature. In view of extensive spread with adhesions of small intestine, sigmoidectomy, right hemicolectomy along with wedge resection of stomach was done.