A rare cause of severe dyspareunia: a case report and literature review.

Abstract:

:Gastrointestinal stromal tumors (GISTs) of the rectum are rare, and their clinical manifestations are variable. We report the case of a 23-year-old woman who was referred complaining of dyspareunia during coitus. We performed digital vaginal and rectal investigations, ultrasound, colonoscopy, and computed tomography. These examinations confirmed the presence of a lesion measuring about 6 × 5 × 5 cm in size attached to the posterolateral left rectum wall. We performed a circumanal excision, then arrived at the mass between the muscles of the pelvic floor. Pathological studies indicated that the tumor was a high-grade GIST, and was clear at the surgical margins. On follow-up, a GIST was found at the gastric fundus via an endoscopic biopsy. Imatinib treatment was initiated because the patient refused a second operation. The gastric lesion disappeared 6 months after imatinib treatment. Dyspareunia disappeared 1 month after operation.

journal_name

Arch Gynecol Obstet

authors

Akbulut S,Cakabay B,Sezgin A,Ozmen C

doi

10.1007/s00404-009-1102-4

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

153-5

issue

1

eissn

0932-0067

issn

1432-0711

journal_volume

281

pub_type

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