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A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature

Received: 11 May 2020     Accepted: 4 June 2020     Published: 16 June 2020
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Abstract

Background: Myelocytic sarcoma is a rare extramedullary tumor consisting of immature myeloid cells-granulocytes, mononuclear cells, or both. It usually occurs in patients with acute or chronic myeloid leukemia and is often found in the skin, bone, and lymphatic tissues. Isolated myeloid sarcomas are more uncommon in patients without leukemia in the small intestine. Case presentation: In the present study, a hospitalized case is discussed with intestinal obstruction as the primary symptom. During the CT examination, the local intestinal wall of the jejunum was found to possess ring thickening, intestinal lumen stenosis and proximal intestinal obstruction. The tumor presented with uniform and moderate progressive enhancement. The patient underwent emergency laparoscopic surgery in order to remove the tumor. Immunohistochemical staining on postoperative paraffin sections revealed myelosarcoma. The patient also underwent a bone marrow biopsy to exclude acute and chronic myeloid leukemia and the bone marrow smear indicated normal range. Conclusions: Myeloid sarcoma must be included in the differential diagnosis of small intestinal tumors, although the patient may not have history of leukemia. Radiologists should improve their imaging perception of myelosarcoma.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 3)
DOI 10.11648/j.ijcems.20200603.12
Page(s) 35-40
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Myeloid Sarcoma, Intestinal Obstruction, Tomography, X-ray Computer

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Cite This Article
  • APA Style

    Lesheng Huang, Jun Chen, Wei Peng, Kaili Cai, Hongyi Li, et al. (2020). A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature. International Journal of Clinical and Experimental Medical Sciences, 6(3), 35-40. https://doi.org/10.11648/j.ijcems.20200603.12

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    ACS Style

    Lesheng Huang; Jun Chen; Wei Peng; Kaili Cai; Hongyi Li, et al. A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature. Int. J. Clin. Exp. Med. Sci. 2020, 6(3), 35-40. doi: 10.11648/j.ijcems.20200603.12

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    AMA Style

    Lesheng Huang, Jun Chen, Wei Peng, Kaili Cai, Hongyi Li, et al. A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature. Int J Clin Exp Med Sci. 2020;6(3):35-40. doi: 10.11648/j.ijcems.20200603.12

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  • @article{10.11648/j.ijcems.20200603.12,
      author = {Lesheng Huang and Jun Chen and Wei Peng and Kaili Cai and Hongyi Li and Jinghua Jiang and Wanchun Zhang and Jiahui Tang and Tianzhu Liu},
      title = {A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {6},
      number = {3},
      pages = {35-40},
      doi = {10.11648/j.ijcems.20200603.12},
      url = {https://doi.org/10.11648/j.ijcems.20200603.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20200603.12},
      abstract = {Background: Myelocytic sarcoma is a rare extramedullary tumor consisting of immature myeloid cells-granulocytes, mononuclear cells, or both. It usually occurs in patients with acute or chronic myeloid leukemia and is often found in the skin, bone, and lymphatic tissues. Isolated myeloid sarcomas are more uncommon in patients without leukemia in the small intestine. Case presentation: In the present study, a hospitalized case is discussed with intestinal obstruction as the primary symptom. During the CT examination, the local intestinal wall of the jejunum was found to possess ring thickening, intestinal lumen stenosis and proximal intestinal obstruction. The tumor presented with uniform and moderate progressive enhancement. The patient underwent emergency laparoscopic surgery in order to remove the tumor. Immunohistochemical staining on postoperative paraffin sections revealed myelosarcoma. The patient also underwent a bone marrow biopsy to exclude acute and chronic myeloid leukemia and the bone marrow smear indicated normal range. Conclusions: Myeloid sarcoma must be included in the differential diagnosis of small intestinal tumors, although the patient may not have history of leukemia. Radiologists should improve their imaging perception of myelosarcoma.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature
    AU  - Lesheng Huang
    AU  - Jun Chen
    AU  - Wei Peng
    AU  - Kaili Cai
    AU  - Hongyi Li
    AU  - Jinghua Jiang
    AU  - Wanchun Zhang
    AU  - Jiahui Tang
    AU  - Tianzhu Liu
    Y1  - 2020/06/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcems.20200603.12
    DO  - 10.11648/j.ijcems.20200603.12
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 35
    EP  - 40
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20200603.12
    AB  - Background: Myelocytic sarcoma is a rare extramedullary tumor consisting of immature myeloid cells-granulocytes, mononuclear cells, or both. It usually occurs in patients with acute or chronic myeloid leukemia and is often found in the skin, bone, and lymphatic tissues. Isolated myeloid sarcomas are more uncommon in patients without leukemia in the small intestine. Case presentation: In the present study, a hospitalized case is discussed with intestinal obstruction as the primary symptom. During the CT examination, the local intestinal wall of the jejunum was found to possess ring thickening, intestinal lumen stenosis and proximal intestinal obstruction. The tumor presented with uniform and moderate progressive enhancement. The patient underwent emergency laparoscopic surgery in order to remove the tumor. Immunohistochemical staining on postoperative paraffin sections revealed myelosarcoma. The patient also underwent a bone marrow biopsy to exclude acute and chronic myeloid leukemia and the bone marrow smear indicated normal range. Conclusions: Myeloid sarcoma must be included in the differential diagnosis of small intestinal tumors, although the patient may not have history of leukemia. Radiologists should improve their imaging perception of myelosarcoma.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

  • Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China

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