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Gastrointestinal stromal tumor complicated by liver abscess

Case contributed by Hani Makky Al Salam
Diagnosis probable

Presentation

History of generalized abdominal pain and fever.

Patient Data

Age: 60 years
Gender: Female

A large mass lesion is seen at the left hypochondrial region originating from the 5th part of the duodenum with necrotic core showing air-fluid level and solid mild enhancing periphery.

Hepatic cystic lesion seen at segments VII/VIII with double target wall appearance and enhancing inner wall. It shows partial septations, homogeneous fluid content and perifocal edema.

Case Discussion

Gastrointestinal stromal tumor (at the left hypochondrial region) complicated by Streptococcus milleri liver abscess.

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