Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma

Authors

Karim Abou El Joud, Advocate Aurora HealthFollow
Misha Abbasi, Advocate Aurora HealthFollow

Recommended Citation

Abou El Joud K, Abbasi M. Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma. Gastrointest Tumors. 2021;9(1):1-4. Published 2021 Nov 18. doi:10.1159/000520802

Affiliations

Advocate Illinois Masonic Medical Center

Abstract

Leiomyosarcomas (LMSs) are extremely rare and comprise only 1.2% of small bowel malignancies. Advancements in immunohistochemical techniques have allowed for the differentiation between LMSs and gastrointestinal stromal tumors. LMSs remain difficult to detect via endoscopy and require a more intricate diagnostic approach. The staging and sizing of these tumors are important prognostic indicators. We report a case of a 67-year-old male who presented with bulging lower extremity veins, abdominal bloating, and weight loss. A CT of the abdomen and pelvis revealed a pelvic mass arising from the small bowel and a metastatic hepatic lesion, which was found to be compressing the inferior vena cava. A biopsy of the hepatic lesion confirmed the diagnosis of metastatic LMS.

Document Type

Article

PubMed ID

35528748