Unusual presentation of brisk active small bowel bleeding from jejunal GIST.

This case emphasises the difficulties in diagnosing a patient with brisk active small bowel bleeding and the differential diagnostic process of identifying tumour types preoperatively using imaging information. This case also underscores the importance of the surgical approach in different scenarios. Despite advancements in small bowel imaging, identifying the source and causes of small bowel bleeding remains challenging, particularly in life-threatening situations. Jejunal gastrointestinal stromal tumour (GIST) is a rare neoplasm of the gastrointestinal tract with small bowel GISTs commonly presenting with GI bleeding. However, brisk or massive bleeding is infrequently reported and poses a significant preoperative diagnostic challenge. Early diagnosis and prompt intervention are essential and can lead to excellent outcomes. Well-planned surgical intervention during emergency operations for gastrointestinal bleeding is integral to effective management.