Saudi Journal of Gastroenterology
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Year : 2007  |  Volume : 13  |  Issue : 4  |  Page : 211-212
A 57-year old with abdominal lumps

Sr. Adv. Surg. and GI Surgery, Command Hospital, AF, Bangalore - 560007, India

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How to cite this article:
Pujahari AK. A 57-year old with abdominal lumps. Saudi J Gastroenterol 2007;13:211-2

How to cite this URL:
Pujahari AK. A 57-year old with abdominal lumps. Saudi J Gastroenterol [serial online] 2007 [cited 2021 Jul 31];13:211-2. Available from:

A 57-year-old male presented with abdominal lumps of 5-month duration. It started as a painless lower abdominal mass that gradually increased in size over the last one month. There was no anorexia, vomiting, change in bowel habits, or urinary complaints. He had lost 10 kg of body weight in last 6 months. There were no significant past illness. He used to chew tobacco 10-15 g daily for the last 30 years and occasionally consumed alcohol. On examination, he did not look unwell and his vital signs were normal. No pallor, jaundice or lymphadenopathy was detected. The abdominal examination revealed three intra-abdominal lumps, with the largest one being 15 cms in the suprapubic area, the second one was in the left upper quadrant and the third was in the right lumbar region. They were nontender, firm, and had restricted mobility and was immobile with respiration. His hematological and biochemical parameters were within the normal limit. The ultrasound examination of the abdomen had shown three mixed echogenic masses observed intraabdominally. The organ of origin could not be assessed. Liver and spleen were normal in size and echogenicity. There was no ascites or lymphadenopathy. CT scan abdomen and pelvis was performed [Figure - 1]. It showed multiple masses with solid and cystic components in all the quadrants of abdomen related to the small bowel without causing any obstruction.

   Q1. What is the Organ of Origin of the Mass ? Top

The intraoperative findings are shown below [Figure - 2].

   Q2. What is the Diagnosis ? Top

Click here to view answer. View Answer

   References Top

1.Lee JT, Kim MJ, Yoo KS, Suh JH, Leong HJ. Primary leiomyosarcoma of the greater omentum: CT findings. J Comput Assist Tomogr 1991;15:92-4.  Back to cited text no. 1  [PUBMED]  
2.Joe DH, Yang JM, Kim HS, Kim SS, Choi SW, Choi SH, et al . A case of primary leiomyosarcoma of the lesser omentum. Korean J Intern Med 1999;14:88-90.   Back to cited text no. 2  [PUBMED]  
3.Kumai T, Suzuki T, Kobayashi E, Morita K, Yoshioka N, Ogawa Y, et al . A case report of great omental leiomyosarcoma with perforation into the jejunum. Rinsho Hoshasen 1990;35:1073-6.  Back to cited text no. 3  [PUBMED]  
4.Miettinen M, Monihan JM, Sarlomo-Rikala M, Kovatich AJ, Carr NJ, Emory TS, et al . Gastrointestinal stromal tumors/smooth muscle tumors (GISTs) primary in the omentum and mesentery: Clinicopathologic and immunohistochemical study of 26 cases. Am J Surg Pathol 1999;23:1109-18.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]
5.Rha SE, Ha HK, Kim AY, Kim TK, Choi BG, Byun JY, et al . Peritoneal leiomyosarcomatosis originating from gastrointestinal leiomyosarcomas: CT features. Radiology 2003;227:385-90.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]
6.Ishida J, Ishida H, Konno K, Komatsuda T, Abe K. Primary leiomyosarcoma of the greater omentum. J Clin Gastroenterol 1999;28:167-70.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]

Correspondence Address:
Aswini K Pujahari
Department of Surgery, Command Hospital, AF, Bangalore - 560 007, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.36758

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  [Figure - 1], [Figure - 2]


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