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[A case of leiomyosarcoma of the small intestine with perforative peritonitis]
Abstract:
On April 15th, 1986, the patient, a 58-year-old man, felt ill because of a stomachache. On April 15, he was referred to our hospital and admitted after having been diagnosed as having pan peritonitis. During surgery, an extraintestinal growth, a small fist-size tumor, was detected in the jejunum. The tumor was partly perforated, and a partial resection of the small intestine was carried out. A histopathological examination led to the diagnosis of a leiomyosarcoma of the small intestine. On June 12, 1987, the patient again returned to our hospital, complaining of a stomachache. A reoperation was performed for perforative peritonitis due to its recurrence but only palliative treatment could be provided.
Insights
A 58-year-old man experienced a perforated small intestine tumor, diagnosed as jejunal leiomyosarcoma. Recurrence led to perforative peritonitis, requiring palliative care.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Leiomyosarcoma is a rare mesenchymal tumor.
- Small intestine tumors can present with acute abdominal emergencies.
Observation:
- A 58-year-old male presented with acute peritonitis due to a perforated jejunal tumor.
- Surgical exploration revealed a fist-sized tumor requiring partial small intestine resection.
Findings:
- Histopathological examination confirmed the diagnosis of jejunal leiomyosarcoma.
- The patient experienced recurrent peritonitis within a year, indicating tumor recurrence.
Implications:
- This case highlights the aggressive nature and potential for recurrence of small intestinal leiomyosarcoma.
- Early diagnosis and complete resection are crucial, though recurrence may necessitate palliative strategies.