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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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http://dx.doi.org/10.3393/ac.2020.12.08 | DOI Listing |
Int J Surg Case Rep
January 2025
Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
S Afr J Surg
October 2024
Department of Paediatric Surgery, Mehmet Akif İnan Training and Research Hospital, Turkey.
Cureus
September 2024
Emergency Medicine, University Hospitals Sussex NHS Foundation Trust, Brighton, GBR.
J Med Case Rep
September 2024
Department of General Surgery, School of Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Road, Shanghai, 200062, China.
Cureus
July 2024
Psychology, University of California, Riverside, USA.
Intussusception, defined as the telescoping of one segment of the gastrointestinal tract into an adjacent one, is a rare cause of abdominal pain in the adult population due to underlying benign or malignant pathology. With the liberal use of CT in the evaluation of patients with abdominal pain, the diagnosis became more reliable. Resection of the bowel segment is the recommended treatment in most cases.
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