Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
Primary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spin...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/8812647 |
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| author | Pamathy Gnanaselvam Malintha Lahiru Mariathas Priatharshan Umesh Jayarajah Kathirvetpillai Kopinath |
| author_facet | Pamathy Gnanaselvam Malintha Lahiru Mariathas Priatharshan Umesh Jayarajah Kathirvetpillai Kopinath |
| author_sort | Pamathy Gnanaselvam |
| collection | DOAJ |
| description | Primary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spindle cell sarcoma presenting with an acute onset abdominal pain and haemorrhagic shock after 5 uneventful years. Emergency exploratory laparotomy was conducted that revealed a retropancreatic mass which had ruptured along its inferior border. Histological evaluation revealed a metastatic deposit of the spindle cell sarcoma. In cases of spontaneous abdominal haemorrhage, it is important to consider the possibility of a ruptured metastatic deposit among the differentials especially in patients with a history of malignancies. Moreover, this is the first reported case of metastatic malignant spindle cell sarcoma presenting with intra-abdominal haemorrhage. |
| format | Article |
| id | doaj-art-6a03650c95e646e7ab1ceeeeab6f0838 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-6a03650c95e646e7ab1ceeeeab6f08382025-02-03T01:05:15ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88126478812647Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal HaemorrhagePamathy Gnanaselvam0Malintha Lahiru1Mariathas Priatharshan2Umesh Jayarajah3Kathirvetpillai Kopinath4Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Pathology, National Hospital of Sri Lanka, Colombo, Sri LankaPrimary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spindle cell sarcoma presenting with an acute onset abdominal pain and haemorrhagic shock after 5 uneventful years. Emergency exploratory laparotomy was conducted that revealed a retropancreatic mass which had ruptured along its inferior border. Histological evaluation revealed a metastatic deposit of the spindle cell sarcoma. In cases of spontaneous abdominal haemorrhage, it is important to consider the possibility of a ruptured metastatic deposit among the differentials especially in patients with a history of malignancies. Moreover, this is the first reported case of metastatic malignant spindle cell sarcoma presenting with intra-abdominal haemorrhage.http://dx.doi.org/10.1155/2020/8812647 |
| spellingShingle | Pamathy Gnanaselvam Malintha Lahiru Mariathas Priatharshan Umesh Jayarajah Kathirvetpillai Kopinath Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage Case Reports in Surgery |
| title | Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage |
| title_full | Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage |
| title_fullStr | Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage |
| title_full_unstemmed | Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage |
| title_short | Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage |
| title_sort | late onset metastatic malignant spindle cell tumour presenting with massive intra abdominal haemorrhage |
| url | http://dx.doi.org/10.1155/2020/8812647 |
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