{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T04:35:37Z","timestamp":1773376537420,"version":"3.50.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms of the gastrointestinal tract, most commonly arising in the stomach and less frequently in the small intestine. Jejunal GISTs often present with vague symptoms, leading to delayed diagnosis, while acute presentations with hemodynamic instability are uncommon and usually result from tumor necrosis or rupture. We report a 37-year-old man with autosomal dominant polycystic kidney disease who presented with acute abdominal pain and shock requiring immediate resuscitation and intensive care admission. Ultrasonography revealed free intraperitoneal fluid and a vascular suprapubic mass. On contrast enhanced computed tomography a heterogeneous necrotic tumor with mesenteric fat stranding and free fluid was identified. Emergency laparotomy identified a hemorrhagic jejunal tumor with hemoperitoneum, which was resected en bloc with primary anastomosis. Histopathology confirmed a moderate-risk GIST. Early radiologic localization and prompt surgical intervention were lifesaving.<\/jats:p>","DOI":"10.1093\/jscr\/rjag148","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T12:44:58Z","timestamp":1771418698000},"source":"Crossref","is-referenced-by-count":0,"title":["Ruptured jejunal gastrointestinal stromal tumor (GIST) presenting with acute hemoperitoneum in a young adult with autosomal dominant polycystic kidney disease (ADPKD)"],"prefix":"10.1093","volume":"2026","author":[{"given":"Ahmed","family":"Refaat","sequence":"first","affiliation":[{"name":"Department of Radiology, Al-Adan Hospital, Ministry of Health Kuwait (MOH), Hadiyah , Block 5, PO Box 46969 ,","place":["Kuwait"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saqer","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Al-Adan Hospital, Ministry of Health Kuwait (MOH) 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of Surgery, Al-Adan Hospital, Ministry of Health Kuwait (MOH) ,","place":["Kuwait"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"2026031216241957400_ref1","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1053\/j.semdp.2006.09.001","article-title":"Gastrointestinal stromal tumors: pathology and prognosis at different sites","volume":"23","author":"Miettinen","year":"2006","journal-title":"Semin Diagn Pathol"},{"key":"2026031216241957400_ref2","doi-asserted-by":"publisher","first-page":"x280","DOI":"10.1093\/annonc\/mdl274","article-title":"Gastrointestinal stromal tumor (GIST)","volume":"17","author":"Joensuu","year":"2006","journal-title":"Ann Oncol"},{"key":"2026031216241957400_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2015.10.031","volume":"40","author":"S\u00f8reide K, Sandvik OM, S\u00f8reide JA","year":"2016","journal-title":"Cancer 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