Annals of Coloproctology (Apr 2022)

Ileocolonic intussusception caused by epithelioid leiomyosarcoma of the ileum: a report of case and review of the literature

  • Han-Gil Kim,
  • Jung Wook Yang,
  • Soon-Chan Hong,
  • Young-Tae Ju,
  • Chi-Young Jeong,
  • Ju-Yeon Kim,
  • Ji-Ho Park,
  • Jin-Kwon Lee,
  • Jae-Myung Kim,
  • Jin-Kyu Cho,
  • Seung-Jin Kwag

DOI
https://doi.org/10.3393/ac.2020.12.08
Journal volume & issue
Vol. 38, no. 2
pp. 176 – 180

Abstract

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Small intestinal malignant tumor accounts for about 3% of all malignant tumors in the gastrointestinal tract, among which 13% are leiomyosarcoma (LMS). In addition, epithelioid LMS is of very rare occurrence. As small intestinal malignant tumors are initially asymptomatic and nonspecific, diagnosis is often delayed, and this can lead to large tumor at the time of detection and lead to intussusception. We observed ileocolonic intussusception in an 80-year-old male patient who was admitted to the hospital with a complaint of abdominal pain and palpable mass on right lower quadrant. The laparoscopic ileocecectomy was performed by the emergency operation because of obstruction. The pathologic examination revealed that the epithelioid LMS developed in the terminal ileum was the leading point of intussusception. To the best of our knowledge, laparoscopic surgery for ileocolonic intussusception with epithelioid LMS has not yet been reported.

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