Gastro intestinal stromal [GIST] tumor are rare mesenchymatous tumors, they develop frequently in the small intestine, stomach, more rarely the esophagus, colon and rectum [1].
GIST’s origin was thought to be smooth muscle or neurogenic for years. In nineteen eighty three, Mazur and Clark suggests that GIST represent a distinctive and unique group of neoplasm with their own biological behavior [2].
The rectal localization of gist is rare, it constitutes approximately 5% of all Gist, and symptoms are usually not specific such as lower bleeding or abdominal pain [3].
For resectable GIST, the main treatment is surgery. However, metastasis as well as recurrence is frequent even with complete surgical resection [4].
We report a case of a 73 years old patient presented with inguinal hernia revealing a rectal GIST as well as liver cirrhosis; the purpose of our report is to describe rectal gist presentation, its radiology aspect, overcome therapeutic challenges due to the patient’s cirrhosis.