Massive enteric necrosis caused by histiocytic sarcoma embolism: a case report.
Enteric necrosis
Histiocytic sarcoma
Tumor embolism
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
04 Oct 2024
04 Oct 2024
Historique:
received:
16
07
2024
accepted:
25
09
2024
medline:
4
10
2024
pubmed:
4
10
2024
entrez:
4
10
2024
Statut:
epublish
Résumé
Histiocytic sarcoma (HS) is a rare disease characterized by the presence of neoplastic histiocytes. We herein report an unusual case of HS that caused massive tumor embolism-related transmural necrosis of the small intestine. A 64-year-old man presented with multiple nodules in the lungs, bone, mediastinum, and subcutaneous tissues that were incidentally detected on preoperative computed tomography for early transverse colon cancer. Approximately two months later, the patient presented with signs of peritoneal irritation suggestive of small intestinal necrosis. Emergency surgery was performed and the necrotic small intestine was resected. Pathological examination revealed small bowel necrosis due to multifocal HS embolism. The postoperative course was uneventful. The patient was unsuccessfully treated with chemotherapy for HS and died 122 days postoperatively. HS can cause massive enteric necrosis due to tumor embolism. Clinicians should be aware of this rare presentation of HS.
Sections du résumé
BACKGROUND
BACKGROUND
Histiocytic sarcoma (HS) is a rare disease characterized by the presence of neoplastic histiocytes. We herein report an unusual case of HS that caused massive tumor embolism-related transmural necrosis of the small intestine.
CASE PRESENTATION
METHODS
A 64-year-old man presented with multiple nodules in the lungs, bone, mediastinum, and subcutaneous tissues that were incidentally detected on preoperative computed tomography for early transverse colon cancer. Approximately two months later, the patient presented with signs of peritoneal irritation suggestive of small intestinal necrosis. Emergency surgery was performed and the necrotic small intestine was resected. Pathological examination revealed small bowel necrosis due to multifocal HS embolism. The postoperative course was uneventful. The patient was unsuccessfully treated with chemotherapy for HS and died 122 days postoperatively.
CONCLUSIONS
CONCLUSIONS
HS can cause massive enteric necrosis due to tumor embolism. Clinicians should be aware of this rare presentation of HS.
Identifiants
pubmed: 39365380
doi: 10.1186/s40792-024-02031-4
pii: 10.1186/s40792-024-02031-4
doi:
Types de publication
Journal Article
Langues
eng
Pagination
228Informations de copyright
© 2024. The Author(s).
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