title: Abscessed leiomyosarcoma of the ileum.
abstract: 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.
authors.affiliation: Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Honda
authors.forename: M
authors.initials: M
authors.lastname: Konagaya
authors.forename: J
authors.initials: J
authors.lastname: Aoki
authors.forename: Y
authors.initials: Y
authors.lastname: Miyazawa
authors.forename: R
authors.initials: R
authors.lastname: Morita
authors.forename: S
authors.initials: S
authors.lastname: Nakazawa
authors.forename: Y
authors.initials: Y
authors.lastname: Tei
authors.forename: S
authors.initials: S
authors.lastname: Harasawa
authors.forename: T
authors.initials: T
authors.lastname: Miwa
authors.forename: J
authors.initials: J
authors.lastname: Soeda
mesh_terms: 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