Jejunal Leiomyosarcoma- A rare GI Tumor

Introduction:

Tumors of the small intestine are relatively rare and both diagnosis and treatment challenge theS Surgeon.
Small intestine accounts only for 1-2% of GI malignancies. Small bowel tutors are difficult to visualise by
Upper and lower Endoscopies.

Case Report:

We present a case of a 69 years old male with no known comorbidities who presented with complaints of ab-
dominal distention and multiple episodes of vomiting on and off for the past 1 month. On Examination, Ab-
domen was distended. CECT showed a Jejuno-Jejunal intussusception causing proximal bowel obstruction
along with a well defined soft tissue density lesion within the distal lumen at the distal most point of intus-
susception acting as lead point.

Discussion:

Primary small bowel GI malignancies are very rare and account for only about 1-2% of all GI malignancies.
Leiomyosarcoma of the small bowel are extremely rare and have been documented as isolated case reports.
Leiomyosarcoma of the small bowel usually present as abdominal pain and malena. Intussusceptions in
adults are also a rare occurrence. Surgical resection with negative margins is the treatment of choice.

Conclusion:

Small bowel tutors are a very rare occurrence and require high clinical suspicion for diagnosis and manage-
ment. The rarity of the tumour precludes a comprehensive analysis. Early diagnosis and surgery form the
crux of the management of Small bowel Leiomyosarcoma.