PMC4392181_01
Abdominal CT scan showing a giant GIST of the stomach associated with a moderate quantity of intraperitoneal fluid.
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Abdominal sonography and computed tomography showed a giant soft-tissue mass arising from the great gastric curvature wall, exophytic, heterogeneous, compatible with a gastric GIST; it was also identified a moderate quantity of intra-peritoneal fluid; there were no suspicious lymph nodes or metastatic lesions (Fig. 1).
Surgical steps: 1 and 2 - Laparotomy confirmed the occurrence of a giant gastric lesion, adherent to the omentum and transverse mesocolon; 3 and 4 - Laborious dissection and complete excision of the tumour was accomplished through an atypical gastrectomy.
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A complete excision of the tumour was accomplished through an atypical gastrectomy, excision of the involved omentum and superior leaflet of the transverse mesocolon (Fig. 2).