[A Patient with Small Intestinal Leiomyosarcoma and Intussusception Who Underwent Single Port Surgery].
Gan To Kagaku Ryoho
; 50(13): 1638-1640, 2023 Dec.
Article
in Ja
| MEDLINE
| ID: mdl-38303367
ABSTRACT
The patient was a 33-year-old female. She was referred to our hospital from a previous clinic with abdominal pain and vomiting. Contrast-enhanced abdominal CT revealed intussusception, leading to a diagnosis of intussusception with a small intestinal tumor as an advanced part. Intestinal obstruction symptoms were observed, and emergency surgery was performed on the same day. As a technique, single port surgery was selected, and laparoscopic reduction was attempted. However, it was ineffective. The site of intussusception was induced outside the body through a small laparotomy wound, and reduction was performed using Hutchinson's procedure. As an adjacent lymph node was markedly swollen, the mesentery involving this lymph node was dissected in a fan shape, and the tumor was extirpated. The tumor measured 40 mm in long diameter, being a hemicircular, protruding lesion. Histologically, disarray of short spindle tumor cells was observed. Immunostaining showed Kit- and DOG1-negtive reactions and partially α-SMA and desmin-positive reactions, suggesting leiomyosarcoma. With the establishment of an immunostaining-test-based classification, leiomyosarcoma is currently rare. In this study, we report a patient in whom single port surgery for intussusception related to small intestinal leiomyosarcoma was successful.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Duodenal Neoplasms
/
Ileal Neoplasms
/
Intestinal Neoplasms
/
Intussusception
/
Leiomyosarcoma
Type of study:
Etiology_studies
Limits:
Adult
/
Female
/
Humans
Language:
Ja
Journal:
Gan To Kagaku Ryoho
Year:
2023
Document type:
Article