Abstract
A rare case of leiomyosarcoma of the ileum presenting with perforated peritonitis is reported together with a review of the literature. In a 41-year-old woman first visited with the complaint of abdominal pain which started on the day before, an intensive pain centered around the right lower abdomen, muscular defense, and Blumberg sign were noted. Moreover, WBC was 12, 600/mm3 and abdominal series revealed a free air. the patient, accordingly, was diagnosed to have peritonitis due to acute appendicitis with perforation, and underwent emergency operation. On laparotomy extraluminal growing type of tumor which formed a lump was found approximately 150cm to oral-side from the ileocecal valve, which caused perforated peritonitis. Ileectomy ranging approximately 100cm was carried out. Histologically it was leiomyosarcoma grown extraluminally arising from the proper mucle layer, and had mitotic figures in high frequency. In Japan perforation of leiomyosarcoma of the small intestine is extremely rare that only 24 operative cases have been reported.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
