Epitheloid Leiomyosarcoma of the Jejunum Presenting with Intussusception in a Young Adult Male: A Case Report ()
ABSTRACT
A 27-year-old male presented with intestinal obstruction due
to a jejuno-jejunal intussusception, 23 years after a childhood nasopharyngeal
carcinoma. He was successfully treated for the latter by radiotherapy but
subsequently required a mandibuloplasty for presumably facial hypoplasia sequel
to the radiotherapy. The present intussusception was resected with wide margins revealing a
partly haemorrhagic, polypoid and sessile jejunal tumour measuring 7.7 × 3.5 × 2.6 cm. Microscopy with extensive
immunohistochemical studies revealed a relatively rare and highly malignant epitheloid
leiomyosarcoma arising from the muscularis propria with extension to the mucosa
and serosa. No metastases were found and post-operative follow-up has so far
been uneventful. The present case of a
malignant tumour presenting as an intussusception in a young adult, was
unrelated to a childhood malignant tumour in the same patient. The former was
successfully treated by a wide excision in support of the advocated surgical
approach to adult intussusception.
Share and Cite:
J. Obafunwa, C. Pritchett, S. Maikandanathan and D. Garkuwa, "Epitheloid Leiomyosarcoma of the Jejunum Presenting with Intussusception in a Young Adult Male: A Case Report,"
Surgical Science, Vol. 4 No. 5, 2013, pp. 283-287. doi:
10.4236/ss.2013.45055.
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