case_images: PMC5906758_01
case_images: CT abdomen showing asymmetric gastric mucosal thickening.
case_images: ZJCH_A_1454787_F0001_B.jpg
case_images: PMC5906758_01_ZJCH_A_1454787_F0001_B.jpg
case_images: F0001
case_images: During admission, imaging showed prostatic hyperplasia, midline retroperitoneal adenopathy, multifocal hypodense hepatic lesions, periportal adenopathy, and gastric wall thickening on abdominal and pelvic CT scan (Figure 1).
case_images: Pathology H&E stains of core biopsy. Spindle cells are seen.
case_images: ZJCH_A_1454787_F0002_PB.jpg
case_images: PMC5906758_01_ZJCH_A_1454787_F0002_PB.jpg
case_images: F0002
case_images: Diagnostic laparoscopy with triplicate core biopsies returned positive for GIST with spindle cell type differentiation (Figure 2).
case_images: CT chest showing bilateral pleural effusions and moderate pericardial effusion with dilated cardiomyopathy.
case_images: ZJCH_A_1454787_F0003_B.jpg
case_images: PMC5906758_01_ZJCH_A_1454787_F0003_B.jpg
case_images: F0003
case_images: Due to concern for pulmonary embolus, chest CT scan showed pericardial effusion and bilateral pleural effusions, worse on the left lung base (Figure 3).