A very rare case of a small bowel leiomyosarcoma leading to ileocaecal intussusception treated with a laparoscopic resection: a case report and a literature review
| Autor: | Katarzyna Mech, Michał Mazurkiewicz, Gustaw Lech, Maciej Słodkowski, Bohdan Dąbrowski, Andrzej Chaber, Tomasz Guzel |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Leiomyosarcoma
Male medicine.medical_specialty Abdominal pain Ileus Case Report Lesion 03 medical and health sciences 0302 clinical medicine Surgical oncology Intussusception (medical disorder) Intestine Small medicine Cecal Diseases Humans Laparoscopy Mesenchymal tumours Aged 80 and over medicine.diagnostic_test business.industry Ileal Diseases Soft tissue medicine.disease Prognosis Surgery Oncology 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business Small bowel tumour Intussusception |
| Zdroj: | World Journal of Surgical Oncology |
| ISSN: | 1477-7819 |
| Popis: | Background Small bowel tumours are rare and comprise less than 2 % of all primary gastrointestinal neoplasms. Among these tumours, a leiomyosarcoma belonging to soft tissue sarcomas is extremely rare and accounts for about 1 % of malignant mesenchymal lesions in the gastrointestinal tract. Due to its aggressive nature and slow growth, it is often diagnosed at the late stage when curative treatment is impossible. Authors report a first case of leiomyosarcoma with chronic recurrent ileocaecal intussusception and literature review to analyse diagnosis and treatment features of the ileum mesenchymal tumours. Case presentation We present a case of an 87-year-old Caucasian man suffering from cramp-like abdominal pain for months. Due to lack of clinical signs and unspecific complaints, a diagnosis was delayed. Despite a detailed in-hospital examination, a proper diagnosis was established as late as during an operation. The patient was treated by surgery with good results. An uncommon laparoscopic resection of the small bowel with a tumour was performed. A histopathological investigation confirmed a very rare mesenchymal lesion of the distal ileum. The patient is under control with no recurrence for 1 year of the follow-up period. Conclusions Reported case indicates that a usually asymptomatic tumour can cause uncommon chronic recurrent ileus signs. CT and MRI scans are investigation of choice in such cases, but they are sometimes inconclusive. It might be worth highlighting the good results of laparoscopic leiomyosarcoma lesion resection with a very good outcome. |
| Databáze: | OpenAIRE |
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