Korean J Gastroenterol.
2004 Aug;44(2):99-102.
Primary Malignant Fibrous Histiocytoma (MFH) of the Small Bowel Presenting as an Intussusception Causing Small Bowel Obstruction
- Affiliations
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- 1Department of Internal Medicine, Inje University College of Medicine, Goyang, Korea. kakim@ilsanpaik.ac.kr
- 2Department of Pathology, Inje University College of Medicine, Goyang, Korea.
- 3Center for Liver Cancer, National Cancer Center, Goyang, Korea.
Abstract
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Adult intussusception secondary to primary sarcoma is a rare cause of small bowel obstruction. Only a few cases of malignant fibrous histiocytoma (MFH) of small bowel presenting as an intussusception have been reported in the literatures. We report a case of small bowel obstruction associated with jejuno-ileal intussusception caused by MFH. A 75-year-old man was admitted with an one-month history of vomiting and epigastric pain aggravated with meals. He was diagnosed as an jejuno-ileal intussusception based on CT scanning and underwent small bowel resection and anastomosis. Resected specimens revealed a polypoid tumor in the ileum and the histology of the tumor was consistent with MFH.