Cargando…
Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature
We report the first known case of a retroperitoneal leiomyosarcoma that presented with an endoscopically defined source of gastrointestinal bleeding in the colon. A 68-year-old male with a history of diverticulosis, hypertension, and hypercholesterolemia who complained of a 3-month history of abdomi...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350186/ https://www.ncbi.nlm.nih.gov/pubmed/22606416 http://dx.doi.org/10.1155/2011/358680 |
_version_ | 1782232618269409280 |
---|---|
author | Ventura, Dominic G. Thakkar, Shyam J. Farah, Katie |
author_facet | Ventura, Dominic G. Thakkar, Shyam J. Farah, Katie |
author_sort | Ventura, Dominic G. |
collection | PubMed |
description | We report the first known case of a retroperitoneal leiomyosarcoma that presented with an endoscopically defined source of gastrointestinal bleeding in the colon. A 68-year-old male with a history of diverticulosis, hypertension, and hypercholesterolemia who complained of a 3-month history of abdominal pain, nausea, and intermittent hematochezia presented for evaluation of large volume hematochezia and lightheadedness. Colonoscopy revealed left-sided diverticulosis and rectal varices without stigmata of recent bleed. CT scan showed a 26 × 20 × 13 cm heterogeneous retroperitoneal mass and multiple hypodense hepatic lesions. Liver biopsy revealed leiomyosarcoma. In summary, although surgery is the mainstay of treatment, resectability has not improved significantly. Early recognition and aggressive surgery are keys to long-term survival. |
format | Online Article Text |
id | pubmed-3350186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33501862012-05-17 Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature Ventura, Dominic G. Thakkar, Shyam J. Farah, Katie Case Rep Gastrointest Med Case Report We report the first known case of a retroperitoneal leiomyosarcoma that presented with an endoscopically defined source of gastrointestinal bleeding in the colon. A 68-year-old male with a history of diverticulosis, hypertension, and hypercholesterolemia who complained of a 3-month history of abdominal pain, nausea, and intermittent hematochezia presented for evaluation of large volume hematochezia and lightheadedness. Colonoscopy revealed left-sided diverticulosis and rectal varices without stigmata of recent bleed. CT scan showed a 26 × 20 × 13 cm heterogeneous retroperitoneal mass and multiple hypodense hepatic lesions. Liver biopsy revealed leiomyosarcoma. In summary, although surgery is the mainstay of treatment, resectability has not improved significantly. Early recognition and aggressive surgery are keys to long-term survival. Hindawi Publishing Corporation 2011 2011-09-08 /pmc/articles/PMC3350186/ /pubmed/22606416 http://dx.doi.org/10.1155/2011/358680 Text en Copyright © 2011 Dominic G. Ventura et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ventura, Dominic G. Thakkar, Shyam J. Farah, Katie Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title | Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title_full | Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title_fullStr | Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title_full_unstemmed | Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title_short | Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature |
title_sort | retroperitoneal leiomyosarcoma presenting as lower gastrointestinal bleeding: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350186/ https://www.ncbi.nlm.nih.gov/pubmed/22606416 http://dx.doi.org/10.1155/2011/358680 |
work_keys_str_mv | AT venturadominicg retroperitonealleiomyosarcomapresentingaslowergastrointestinalbleedingacasereportandreviewoftheliterature AT thakkarshyamj retroperitonealleiomyosarcomapresentingaslowergastrointestinalbleedingacasereportandreviewoftheliterature AT farahkatie retroperitonealleiomyosarcomapresentingaslowergastrointestinalbleedingacasereportandreviewoftheliterature |