Gastro-intestinal stromal tumors are rare and their evolution is dubious. T
his observation of port site metastasis after laparoscopic resection of a s
mall duodenal stromal tumor would be, to our knowledge, the first case repo
rted in the literature. Several direct and indirect mechanisms were suppose
d to be involved in the appearance of metastases after laparoscopic surgery
, but the risk of dissemination remains badly evaluated on its frequency as
well as on its mechanisms. (C) 2001 Editions scientifiques et medicales El
sevier SAS.