Abscessed leiomyosarcoma of the ileum.
A-49-year-old man was admitted because of a lower abdominal mass. During the five days prior to admission, he had noted fever and lower abdominal pain. Palpation of the abdomen revealed a tender mass, 10 cm in diameter, in the suprapubic region. An x-ray revealed an irregular collection of gas, 9 cm in diameter, in the pelvic cavity, which appeared as a mirror image when the patient was upright. Based on the physical finding and the results of a barium enema, abdominal CT, MRI, and small intestine imaging, a diagnosis of leiomyosarcoma of the ileum was made. Excision of the tumor and part of the small intestine was performed. A saccular tumor, 11 x 6 x 5 cm, was found 1.0 m from the cecum and growing out of the wall of the ileum. A large amount of pus was found inside the cavity. The pathological diagnosis was leiomyosarcoma.
Honda
T
T
Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa, Japan.
Konagaya
M
M
Aoki
J
J
Miyazawa
Y
Y
Morita
R
R
Nakazawa
S
S
Tei
Y
Y
Harasawa
S
S
Miwa
T
T
Soeda
J
J
D000038:Abscess / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis; D007078:Ileal Neoplasms / Q000150:complications* / Q000175:diagnosis; D007890:Leiomyosarcoma / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged