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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Benaragama, K. S. Neequaye, S. K. Maudgil, D. Gordon, A. G. |
| Description | Author Affiliation: Benaragama KS ( Department of General Surgery, Heatherwood and Wexham Park Hospitals NHS Trust, Wexham Park Hospital, Slough, UK. shanka@doctors.org.uk) |
| Abstract | A 76-year-old patient was admitted with right-sided lower abdominal pain. CT scan of the abdomen demonstrated a fatty mass arising around the bowel in the left iliac fossa causing local distortion of the vasculature. His clinical condition rapidly deteriorated with worsening abdominal signs necessitating an exploratory laparotomy. A segment of perforated small bowel associated with mesenteric mass was excised and the patient died 3 days later. The histology demonstrated a well-differentiated liposarcoma. Liposarcomas are the most common soft tissue sarcomas in adults but occurrence in the gastrointestinal tract is extremely rare. The clinical presentation of these tumours is frequently non-specific and commonest symptoms are generalised, intermittent abdominal pain. Surgical resection with clear margins is the treatment of choice for primary liposarcomas. They are moderately radiosensitive and chemotherapy is non-effective. Although gastrointestinal liposarcomas have been previously reported, this is the first reported case of a primary liposarcoma associated with a small bowel perforation. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2010 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Ileal Neoplasms Diagnosis Intestinal Perforation Etiology Liposarcoma Fatal Outcome Ileal Diseases Complications Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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