RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0045-1810437
Closed Perforation of Small Bowel Caused by Primary Intra-abdominal Synovial Sarcoma
Abstract
Synovial sarcoma is a rare and aggressive tumor, typically found in the extremities, with intra-abdominal cases being exceptionally uncommon. We present a 47-year-old male with abdominal pain and significant weight loss, whose imaging revealed a retroperitoneal mass originating from the duodenojejunal flexure. Computed tomography demonstrated a lobulated mass with heterogeneous enhancement, cystic and necrotic areas, and perilesional lymphadenopathy. Despite extensive imaging, definitive diagnosis required histopathological confirmation. Intraoperatively, a closed-loop perforation and vascular invasion rendered the tumor unresectable. Given the extreme rarity and diagnostic challenges of intra-abdominal synovial sarcoma, a multidisciplinary approach is essential. Comprehensive radiological evaluation, assessing mass morphology, vascular involvement, resectability, and metastatic potential, is crucial for accurate diagnosis and treatment planning. This case highlights the importance of advanced imaging in managing rare abdominal malignancies.
Ethical Approval
None available.
Patient's Consent
The patient was fully aware of the publication and gave written informed consent as per ethical principles outlined in the Declaration of Helsinki.
Publikationsverlauf
Artikel online veröffentlicht:
06. August 2025
© 2025. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Shibata R, Morishita M, Koreeda N. et al. Primary gastric synovial sarcoma resected by laparoscopic endoscopic cooperative surgery of the stomach: a case report. Surg Case Rep 2021; 7 (01) 225
- 2 Ferrari A, Sultan I, Huang TT. et al. Soft tissue sarcoma across the age spectrum: a population-based study from the Surveillance Epidemiology and End Results database. Pediatr Blood Cancer 2011; 57 (06) 943-949
- 3 Racem T, Mehdi D, Ahmed G, Faten S, Amen D, Adnen C. Synovial sarcoma of the abdominal wall: a case report for a rare entity with a challenging treatment. Int J Surg Case Rep 2023; 109: 108596
- 4 Saif AH. Primary synovial sarcoma of the abdominal wall: a case report and review of the literature. J Family Community Med 2008; 15 (03) 123-125
- 5 Abdessayed N, Barka M, Mabrouk S. et al. A case of primary mesenteric synovial sarcoma: a challenging presentation. Surg Case Rep 2023; 9 (01) 158
- 6 Eriksen C, Burns L, Bohlke A, Haque S, Slakey DP. Management of monophasic synovial sarcoma of the small intestine. JSLS 2010; 14 (03) 421-425
- 7 Bakri A, Shinagare AB, Krajewski KM. et al. Synovial sarcoma: imaging features of common and uncommon primary sites, metastatic patterns, and treatment response. AJR Am J Roentgenol 2012; 199 (02) W208-15