Abstract
Introduction: Chordoma is a rare recurrent locally malignant bone tumor. Case Report: A 41-year-old male patient presented to Emergency Medicine Department (EMD) with features of an acute abdomen. His chest X-ray showed air under the diaphragm, and the computed tomography (CT) abdomen revealed a soft tissue mass suggestive of a sacral chordoma. A few months before his EMD visit, he has received multiple courses of nonsteroidal anti-inflammatory drugs (NSAIDs) for back pain. The patient was operated upon as an emergency for the gastrointestinal perforation. He was operated upon electively for the mass later on. Histopathological exam after total resection at other center confirmed the diagnosis of chordoma. Conclusion: After stabilization of patient and pain control, further history taking will be valuable to know the primary cause for the acute abdomen presentation.
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