Related Experiment Video
Updated: Jun 27, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Unveiling the Unlikely: Extraskeletal Ewing Sarcoma Masquerading as Gastrointestinal Bleeding
Bryan M Greenfield1, Madeleine A Wilson1, Kyle J Schulte1
1Primary Care Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA.
Cureus
|April 29, 2024
Summary
Extra-skeletal Ewing sarcoma is rare, but can present unusually. This case highlights a 66-year-old man whose intermittent melena led to diagnosis of a small bowel Ewing sarcoma via capsule endoscopy.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Ewing sarcoma is a primary bone malignancy.
- Uncommon extra-skeletal presentations can mimic other pathologies.
Observation:
- A 66-year-old male presented with intermittent melena.
- Capsule endoscopy revealed a small bowel neoplasm.
- The patient developed a secondary small bowel obstruction.
Findings:
- The neoplasm was diagnosed as an extra-skeletal Ewing sarcoma.
- Surgical resection and surveillance were performed.
- The patient achieved a complete remission with no evidence of disease at four years.
Implications:
- This case expands the differential diagnosis for gastrointestinal bleeding and obstruction.
- Highlights the importance of considering rare malignancies in older adults.
- Demonstrates successful management of extra-skeletal Ewing sarcoma.
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