ABSTRACT
Ten cases of serious complications requiring emergency surgery in patients with tumours of the small intestine are presented: 3 cases of peritonitis due to perforation of a fibroleiomyoma, a jejunal adenocarcinoma, and an ileal lymphosarcoma; 3 invaginations (1 ileocolic due to an ileal polyp, and 2 ileoileal due to lymphoma and polypoid metastasis of melanoma; 3 stenosis (ileal owing to metastasis of melanoma, and duodenal and of the duodenojejunal flexure due to histologically unascertained neoplasias); 1 massive enterorrhagia from ileal anaplastic carcinoma. The frequency of such pictures is not negligible when assessed in terms of emergency surgical pathology and compared with other emergency situations arising in patients with tumours. Preoperative diagnosis is difficult even from the clinical history. Tumours of the small intestine appear to give rise to such complications in their initial stages.
Subject(s)
Intestinal Neoplasms/surgery , Adenocarcinoma/surgery , Adult , Aged , Emergencies , Female , Humans , Intestinal Neoplasms/complications , Intestinal Obstruction/etiology , Intestine, Small , Intussusception/etiology , Leiomyoma/surgery , Lymphoma/surgery , Lymphoma, Non-Hodgkin/surgery , Male , Melanoma/surgery , Middle Aged , Peritonitis/etiology , Peritonitis/surgeryABSTRACT
A case of gastric leiomyosarcoma (primary maliganant mesenchymal neoplasia of non-lymphoblastic origin) personally observed, is presented. The pathological anatomy, aetiopathogensis, symptomatology and diagnosis of this disease are described as well as the surgical treatment of the case.
