GIST JEJUNUM Presented as HOLLOW VISCUS PERFORATION –A rare Aetiology

A 55yr old diabetic, hypertensive male with prior history of coronary stenting presented to the emergency department complaints abdominal pain and distension duration 4 days. The abdomen was grossly distended diffuse tenderness guarding Patient evaluated resuscitated, investigated, found be Hollow viscous perforation peritonitis. subjected laparotomy. surprise finding in Operating room mass arising from jejunum perforation. Resected specimen histopathology revealed GIST which an unusual cause acute abdomen.