title: Intestinal necrosis in young patient due to arterial tumour embolism.
abstract: A patient in the thirties, currently undergoing chemotherapy for metastatic osteosarcoma diagnosed 3 years earlier, was admitted with in the emergency department with abdominal pain. Laparoscopic surgery revealed severe inflammation and an abscess. 18 cm of small intestine was removed because of intestinal necrosis. Histological examination showed several arterial tumour emboli, morphologically similar to the primary sarcoma. The patient died 1 year after successful surgery. Because of the improved survival of patients with osteosarcoma, acute mesenteric ischaemia should be considered in acute abdomen in these patients.
authors.affiliation: Department of Internal Medicine, Herlev University Hospital, Herlev, Denmark.
authors.forename: Einar
authors.initials: E
authors.lastname: Dahle
authors.forename: Ismail
authors.initials: I
authors.lastname: Gögenur
authors.forename: Peter
authors.initials: P
authors.lastname: Nørgaard
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery; D007511:Ischemia / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D065666:Mesenteric Ischemia; D008875:Middle Aged; D009336:Necrosis; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D012516:Osteosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D014652:Vascular Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*