Ann Coloproctol.  2014 Dec;30(6):280-284. 10.3393/ac.2014.30.6.280.

Acute Peritonitis Caused by a Fibrosarcoma of the Transverse Colon in an Adult

• Lee SY
• Kwon JN
• Kim KY

• KMID: 1882737
• DOI: http://doi.org/10.3393/ac.2014.30.6.280

Abstract

A fibrosarcoma is a malignant mesenchymal tumor derived from fibrous connective tissue. It usually develops in the deep soft tissues of the extremities, as well as the trunk, head, and neck. In extremely rare cases, a fibrosarcoma may occur in the gastrointestinal tract. Most cases of fibrosarcoma in the gastrointestinal tract have been observed in the pediatric age group while only a few cases have been reported in adults. A 61-year-old male presented with pain in the entire abdominal region. Chest radiography showed free air in the subphrenic space. After an emergency operation, we found a solid mass around the transverse colon and performed a segmental resection with a lymphatic dissection of the transverse colon, including the mass. A pathologic examination showed a fibrosarcoma with a perforation. There was no perioperative complication. The patient was discharged on postoperative day 11 and had follow-ups for 1 year without any recurrence.

Keyword

Fibrosarcoma; Transverse colon; Adult

MeSH Terms

Adult*
Colon, Transverse*
Connective Tissue
Emergencies
Extremities
Fibrosarcoma*
Follow-Up Studies
Gastrointestinal Tract
Head
Humans
Male
Middle Aged
Neck
Peritonitis*
Radiography
Recurrence
Thorax