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

Lesheng Huang; Jun Chen; Wei Peng; Kaili Cai; Hongyi Li; Jinghua Jiang; Wanchun Zhang; Jiahui Tang; Tianzhu Liu

doi:doi:10.11648/j.ijcems.20200603.12

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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

Lesheng Huang, Jun Chen, Wei Peng, Kaili Cai, Hongyi Li, Jinghua Jiang, Wanchun Zhang, Jiahui Tang, Tianzhu Liu

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 3)

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), 2024. Published by Science Publishing Group

Keywords

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

References

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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

Lesheng Huang

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Jun Chen

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Wei Peng

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Kaili Cai

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Hongyi Li

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Jinghua Jiang

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Wanchun Zhang

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Jiahui Tang

Department of Radiology, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, China
Tianzhu Liu

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

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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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