# An atypical case of jejunal gastrointestinal stromal tumour presenting as chronic anaemia

## TL;DR

A rare case of a jejunal tumor causing long-term anemia is described, emphasizing the need for thorough small intestine evaluation in unexplained anemia.

## Contribution

Highlights a rare presentation of jejunal GIST as a cause of chronic anemia and the diagnostic utility of cross-sectional imaging.

## Key findings

- A jejunal gastrointestinal stromal tumor was identified as the cause of chronic unexplained iron deficiency anemia.
- Computed tomography angiography and laparoscopy were key in diagnosing the jejunal mass.
- Histopathology confirmed a low-risk gastrointestinal stromal tumor.

## Abstract

Gastrointestinal stromal tumours (GISTs) are rare mesenchymal neoplasms, most commonly arising in the stomach or small intestine. Jejunal GISTs are rare and may pose diagnostic challenges. We report a 44-year-old woman with a 3-year history of chronic unexplained iron deficiency anaemia and negative endoscopy. Computed tomography angiography suggested a jejunal lesion. Laparoscopy identified a well-circumscribed jejunal mass, which was resected. Histopathology confirmed a low-risk GIST. This case highlights the importance of considering small bowel pathology in persistent anaemia and the role of cross-sectional imaging or capsule endoscopy in timely diagnosis.