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Updated: Aug 22, 2026

A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
[Primary malignant fibrous histiocytoma (MFH) of the small bowel presenting as an intussusception causing small bowel
Ung Ryu1, Byung Wook Lim, Jea Wook Roh
1Department of Internal Medicine, Inje University College of Medicine, Goyang, Korea.
Abstract:
Adult intussusception secondary to primary sarcoma is a rare cause of small bowel obstruction. Only a few cases of malignant fibrous histiocytoma (MFH) of small bowel presenting as an intussusception have been reported in the literatures. We report a case of small bowel obstruction associated with jejuno-ileal intussusception caused by MFH. A 75-year-old man was admitted with an one-month history of vomiting and epigastric pain aggravated with meals. He was diagnosed as an jejuno-ileal intussusception based on CT scanning and underwent small bowel resection and anastomosis. Resected specimens revealed a polypoid tumor in the ileum and the histology of the tumor was consistent with MFH.
Insights
Adult intussusception caused by malignant fibrous histiocytoma (MFH) is rare. This case highlights MFH as a cause of small bowel obstruction, requiring surgical intervention and histological confirmation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Adult intussusception is an uncommon cause of small bowel obstruction.
- Malignant fibrous histiocytoma (MFH) of the small bowel is exceptionally rare.
- Primary sarcomas are infrequent etiologies for intussusception in adults.
Observation:
- A 75-year-old male presented with a month of vomiting and epigastric pain.
- CT imaging revealed jejuno-ileal intussusception.
- Surgical resection and anastomosis were performed for the obstruction.
Findings:
- The resected specimen showed a polypoid tumor within the ileum.
- Histological examination confirmed the tumor as malignant fibrous histiocytoma (MFH).
- This represents a rare instance of MFH causing intussusception and small bowel obstruction.
Implications:
- Highlights the importance of considering rare tumors in the differential diagnosis of small bowel obstruction.
- Emphasizes the role of surgical resection and histopathology in diagnosing and managing such cases.
- Contributes to the limited literature on malignant fibrous histiocytoma presenting as intussusception.
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