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KMID : 1141920220380020176
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Annals of Coloproctology
2022 Volume.38 No. 2 p.176 ~ p.180
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Ileocolonic intussusception caused by epithelioid leiomyosarcoma of the ileum: a report of case and review of the literature
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Kim Han-Gil
Yang Jung-Wook
Hong Soon-Chan
Ju Young-Tae
Jeong Chi-Young
Kim Ju-Yeon
Park Ji-Ho
Lee Jin-Kwon
Kim Jae-Myung
Cho Jin-Kyu
Kwag Seung-Jin
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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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KEYWORD
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Ileal neoplasms, Intussusception, Leiomyosarcoma
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