An Endoscopic Case Report of Jejunal Leiomyosarcoma and Review of the Japanese Literature
Jejunoscopy for a small intestinal leiomyosarcoma was performed on a 73-year-old male. The patient was admitted because of a palpable abdominal mass. A barium meal study, abdominal ultrasonography, computed tomography and angiography suggested a leiomyogenic tumor with a central cavity arising from the jejunal loop extraluminally. Enteroscopy with a pediatric colonofiberscope (PCF) enabled us to observe a mucosal ulcer and a part of the cavity of the tumor. Histology of the resected tumor revealed it to be a leiomyosarcoma with a large central hollow connected to the mucosal ulcer. The authors discussed the endoscopic findings of 17 previously reported Japanese cases of jejunal leiomyosarcoma and the present case.