PMC3970249_01
Plain abdominal radiograph showing dilatation of small bowel without any gas-fluid levels.
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Plain abdominal X-ray showed dilatation of small bowel without any gas-fluid levels; Figure 1.
Computed tomography (CT) abdomen without contrast showing (a) coronal view: distended stomach, proximal small bowel loops extending down to midabdominal level where there was abrupt change in caliber of the bowel, and collapse of distal small bowel loops and (b) axial view: a soft tissue density lesion containing vessels.
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At this transition point appeared a soft tissue density containing vessels, which raised the possibility of intussusception with a lesion; Figure 2.
(a) Hematoxylin and Eosin staining (x40) (b) (x100) of the tumor at the submucosa and muscular layer of the small bowel and showing (c) immunopositivity for SMA.
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Figure 3. Further histopathological review of primary surgery specimen showed 7 cm uterine leiomyosarcoma involving out half of myometrium without any lymphovascular invasion (LVSI) which confirmed the diagnosis; Figure 4.
Computed tomography of chest showing largest pulmonary metastatic nodule of size 10 x 6 cm in right middle and lower lobes invading adjacent mediastinum, mediastinal pleura, pericardium, and right pulmonary vein and bronchus.
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Figure 3. Further histopathological review of primary surgery specimen showed 7 cm uterine leiomyosarcoma involving out half of myometrium without any lymphovascular invasion (LVSI) which confirmed the diagnosis; Figure 4.
Computed tomography of brain showing multiple intra- and extracranial enhancing lesions at left occipital, left parietal subdura (5.6 x 3.5 cm) with midline shift and vasogenic edema, and right cerebellum.
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CT chest showed multiple pulmonary metastatic nodules; largest one was of size 10 x 6 cm in right middle and lower lobes invading adjacent mediastinum, mediastinal pleura, pericardium, and right pulmonary vein and bronchus; Figure 5.