PMC6008800_01
The intraoperative image of the ulcerated ileal GIST arising from the antimesenteric border with interloop hemoperitoneum and inflammatory exudates.
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fig1
Entire bowel was explored and this revealed an ulcerated lesion measuring 7 x 5 cm arising from the antimesenteric border of the ileum 8 feet (2.5 m) from ICJ with localized interloop hemoperitoneum and inflammatory exudates as shown in Figure 1.
Microscopic appearance of the ileal malignant GIST (stained with eosin/hematoxylin stain) under high-power magnification showing mitotic figures. (a) Tumor cells exhibiting epithelioid morphology (H&E; 20x). (b) Spindle cells in fascicles (H&E; 20x). (c) Areas with frequent mitotic activity (H&E; 40x).
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fig2
The areas in between these showed skenoid fibers along with focal areas of hemorrhage, infarction, and congestion as shown in Figure 2.