Table 1.
Reported cases of GISTs presenting during pregnancy.
| Author | Age | Signs and symptoms | Site of GIST | Diagnostic investigations | Surgery and mode of delivery | Post-operative complications | Recurrence |
|---|---|---|---|---|---|---|---|
| Valente et al.8 | 32 | Abdominal pain, ascites | Lesser curvature of stomach, peritoneum | 1. US | Exploratory Laparotomy, followed by ELSCS (28/40) | Post-operative foetal distress, Premature delivery | None – at 9 months |
| Lanzafame et al.9 | 29 | Abdominal pain, ascites | Stomach wall | 1. US | Laparotomy – gastric wedge resection (method of delivery not specified) | – | – |
| 2. Paracentesis | |||||||
| Scherjon et al.10 | 25 | Large for dates | Jejunum, appendix, rectouterine pouch, spleen | 1. US | 1. GIST resection en bloc, including jejunum, appendix and spleen | 2 further laparotomies | Yes – at 6 years |
| 2. Doppler | 2. (SVD 41/40) | ||||||
| 3. Gastroscopy | |||||||
| Our case | 31 | Tiredness, breathlessness, dizziness | Mid-jejunum infiltrating ascending colon | 1. MRI | Combined LSCS and extended right hemicolectomy/small bowel resection (36/40) | Pre-term delivery | None – at 2 years |
| 2. US guided biopsy |
US, ultrasound; MRI, Magnetic Resonance Imaging; ELSCS, emergency lower segment caesarean section; SVD, Spontaneous Vaginal Delivery; LSCS, lower segment caesarean section.