Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage

Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage

Primary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spin...

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Main Authors: Pamathy Gnanaselvam, Malintha Lahiru, Mariathas Priatharshan, Umesh Jayarajah, Kathirvetpillai Kopinath
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2020/8812647
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spelling doaj-6a03650c95e646e7ab1ceeeeab6f08382020-12-28T01:30:36ZengHindawi LimitedCase Reports in Surgery2090-69192020-01-01202010.1155/2020/8812647Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal HaemorrhagePamathy Gnanaselvam0Malintha Lahiru1Mariathas Priatharshan2Umesh Jayarajah3Kathirvetpillai Kopinath4Department of SurgeryFaculty of MedicineDepartment of SurgeryDepartment of SurgeryDepartment of PathologyPrimary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spindle cell sarcoma presenting with an acute onset abdominal pain and haemorrhagic shock after 5 uneventful years. Emergency exploratory laparotomy was conducted that revealed a retropancreatic mass which had ruptured along its inferior border. Histological evaluation revealed a metastatic deposit of the spindle cell sarcoma. In cases of spontaneous abdominal haemorrhage, it is important to consider the possibility of a ruptured metastatic deposit among the differentials especially in patients with a history of malignancies. Moreover, this is the first reported case of metastatic malignant spindle cell sarcoma presenting with intra-abdominal haemorrhage.http://dx.doi.org/10.1155/2020/8812647
collection DOAJ
language English
format Article
sources DOAJ
author Pamathy Gnanaselvam
Malintha Lahiru
Mariathas Priatharshan
Umesh Jayarajah
Kathirvetpillai Kopinath
spellingShingle Pamathy Gnanaselvam
Malintha Lahiru
Mariathas Priatharshan
Umesh Jayarajah
Kathirvetpillai Kopinath
Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
Case Reports in Surgery
author_facet Pamathy Gnanaselvam
Malintha Lahiru
Mariathas Priatharshan
Umesh Jayarajah
Kathirvetpillai Kopinath
author_sort Pamathy Gnanaselvam
title Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
title_short Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
title_full Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
title_fullStr Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
title_full_unstemmed Late-Onset Metastatic Malignant Spindle Cell Tumour Presenting with Massive Intra-Abdominal Haemorrhage
title_sort late-onset metastatic malignant spindle cell tumour presenting with massive intra-abdominal haemorrhage
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6919
publishDate 2020-01-01
description Primary spindle cell sarcoma is a rare tumour. The presentation of acute intra-abdominal bleeding from a metastatic spindle cell tumour has not been previously reported. We report a case of a 40-year-old woman with a history of curative resection of the medial compartment of the right thigh for spindle cell sarcoma presenting with an acute onset abdominal pain and haemorrhagic shock after 5 uneventful years. Emergency exploratory laparotomy was conducted that revealed a retropancreatic mass which had ruptured along its inferior border. Histological evaluation revealed a metastatic deposit of the spindle cell sarcoma. In cases of spontaneous abdominal haemorrhage, it is important to consider the possibility of a ruptured metastatic deposit among the differentials especially in patients with a history of malignancies. Moreover, this is the first reported case of metastatic malignant spindle cell sarcoma presenting with intra-abdominal haemorrhage.
url http://dx.doi.org/10.1155/2020/8812647
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AT malinthalahiru lateonsetmetastaticmalignantspindlecelltumourpresentingwithmassiveintraabdominalhaemorrhage
AT mariathaspriatharshan lateonsetmetastaticmalignantspindlecelltumourpresentingwithmassiveintraabdominalhaemorrhage
AT umeshjayarajah lateonsetmetastaticmalignantspindlecelltumourpresentingwithmassiveintraabdominalhaemorrhage
AT kathirvetpillaikopinath lateonsetmetastaticmalignantspindlecelltumourpresentingwithmassiveintraabdominalhaemorrhage
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