{
  "abstract": "The clinical presentation of gastrointestinal stromal tumours (GISTs) can vary and can be attributed to tumour mass effect or gastrointestinal haemorrhage. We present the rare case of a female in her 50s who presented with an adnexal mass on transvaginal ultrasound, eventually resulting in the resection of a small bowel GIST following diagnostic laparoscopy. A literature review revealed only 26 individual case reports of GISTs initially presenting as gynaecological disease. Mobility of the small bowel and a large-sized tumour promote descension of a mass towards the pelvis. This, along with their non-specific features on imaging, can result in them mimicking gynaecological pathology, prompting initial gynaecological investigation and a delay in surgical management. Non-gynaecological tumours, such as GISTs, must always be considered as a differential diagnosis in patients presenting with pelvic masses or pain.",
  "authors": [
    {
      "affiliations": [
        "Surgery, Royal Free Hospital, London, UK"
      ],
      "name": "Siji Olusola"
    },
    {
      "affiliations": [
        "General Surgery, Whittington Hospital NHS Trust, London, UK"
      ],
      "name": "Ayo Oshowo"
    },
    {
      "affiliations": [
        "Radiology, Whittington Hospital NHS Trust, London, UK"
      ],
      "name": "Diane Murray"
    }
  ],
  "title": "Gastrointestinal stromal tumour of the small intestine presenting as an adnexal mass on transvaginal ultrasound",
  "uid": "4a139826-6579-55f9-9deb-121afca0e44c"
}