A Case of Leiomyosarcoma in the Upper Part of the Stomach Intussuscepted into the Duodenum

Tomoyoshi Takayama, Yoshihiro Shimano, Akira Yamaguchi and Hiroshige Nakano^*

Department of Surgery, Tenri City Hospital
First Department of Surgery, Nara Medical University^*

A 65-year-old female was diagnosed as having a tumor in the upper part of the stomach in 1989, however she had been refusing surgery for 7 years. In 1994 she was suddenly admitted with complaints of abdominal pain accompanied with nausea and vomiting. Ultrasonography showed that intussusception of a tumor arising from the upper part of the stomach had occurred into the duodenum. The tumor was resected with part of the gastric wall. The excised specimen was a smooth-faced oval tumor, 6.5×7.5 cm in size and weighing 120 g. Histologically, it was diagnosed as a leiomyosarcoma. This paper reported a very rare leiomyosarcoma arising from the upper part of the stomach which showed ball valve syndrome intussusception into the duodenum.

Key words
leiomyosarcoma of the stomach, intussusception, ball valve syndrome

Reprint requests
Tomoyoshi Takayama First Department of Surgery, Nara Medical University 840 Shijo-cho, Kashihara, 634-0813 JAPAN

Accepted
May 25, 1999

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