Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Multifocal angiosarcoma of the stomach and jejunum: A case report
Maher Al Khaldi1, Anne-Marie Dufresne1, DesGroseilliers S.1
1General Surgeon, General Surgery Department, Pierre-Boucher Hospital, Longueuil, Quebec, Canada.

Article ID: 100022Z12MK2016
doi:10.5348/Z12-2016-22-CR-14

Address correspondence to:
Maher Al Khaldi
2830 Goyer, apartment 112, Montreal
Quebec
Canada, H3S1H4

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How to cite this article:
Al Khaldi M, Anne-Marie D, DesGroseilliers S. Multifocal angiosarcoma of the stomach and jejunum: A case report. J Case Rep Images Surg 2016;2:50–56.


Abstract
Introduction: Gastrointestinal angiosarcoma is a very rare soft-tissue malignancy with a poor prognosis. There are only seven cases of angiosarcoma to have ever involved the stomach in the actual literature.
Case Report: This report describes a unique case of a multifocal angiosarcoma of the stomach and jejunum in a 79-year-old female who displayed non-specific symptoms of abdominal pain, postprandial heaviness and lower left quadrant pain. A computed-tomography scan revealed an ulcerated lesion in the stomach. Upon surgical exploration, two primary lesions were found in the stomach and two similar lesions in the jejunum. After surgical resection of the involved parts, the diagnosis of primary angiosarcoma was made by pathological and immunohistochemical examination. A favorable two month postoperative follow-up was noted.
Conclusion: This is the first documented case in the English literature of four simultaneous primary angiosarcoma lesions involving the stomach and the small intestine. Given its rare nature, patients with angiosarcoma could be misdiagnosed. Standard treatment is surgery. However, more studies are needed to establish the role of adjuvant chemotherapy and radiotherapy in the treatment of angiosarcoma.

Keywords: Angiosarcoma, Epigastric discomfort, Jejunum, Stomach


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Author Contributions
Maher Al Khaldi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Anne-Marie Dufresne – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
DesGroseilliers S. – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Maher Al Khaldi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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