Intestinal intussusception secondary to a jejunal sarcomaa Laparoscopic approach: report of a case and review of literature

摘要

We present the case of a 68 years old female patient, who consulted for oral intolerance, abdominal pain and weight loss. Intestinal transit shows a dilated stomach and an obstruction 20 cm from the Treitz′s ligament. Abdominal tomography shows target sign (pathognomonic of intestinal invagination). Diagnostic laparoscopy confirmed diagnosis of intestinal invagination, performing resection and anastomosis. The patient progressed satisfactorily, was discharged the fourth postoperative day. Anatomopathology report highgrade undifferentiated sarcoma. Immunohistochemistry reported positive for desmin and vimentin and negative for c-kit and cd-34. In conclusion Jejunal sarcoma is rare and clinical presentation with intestinal invagination is unusual. The standard treatment is surgical resection with wide margins, laparoscopic approach being feasible.