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2022 Volume 9
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CASE REPORT   Open Access    

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

  • Internal Medicine, Advocate Aurora Health/Advocate Illinois Masonic Medical Center, Chicago, IL, USA

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  • 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.

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    Karim Abou El Joud, Misha Abbasi. 2022. Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma. Gastrointestinal Tumors. 9:2 doi: 10.1159/000520802
    Karim Abou El Joud, Misha Abbasi. 2022. Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma. Gastrointestinal Tumors. 9:2 doi: 10.1159/000520802
    shu

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Case Report   Open Access    

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

  • Internal Medicine, Advocate Aurora Health/Advocate Illinois Masonic Medical Center, Chicago, IL, USA

  • Received: 25 January 2021
  • Accepted: 08 November 2021
  • Published online: 18 November 2021
Gastrointestinal Tumors  9,  Article number: 10.1159/000520802  (2022)  |  Cite this article

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.

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    Cite this article
    Karim Abou El Joud, Misha Abbasi. 2022. Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma. Gastrointestinal Tumors. 9:2 doi: 10.1159/000520802
    Karim Abou El Joud, Misha Abbasi. 2022. Lower Extremity Varicose Veins: An Unusual Presentation of Small Bowel Leiomyosarcoma. Gastrointestinal Tumors. 9:2 doi: 10.1159/000520802
    shu

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