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A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings

A jejunal intussusception as a presentation of retroperitoneal liposarcoma (RLPS) is a rare occurrence. The majority of RLPS are presented as an abdominal mass, however, having a jejunal obstruction is an interesting case. The aim is to describe the management of jejunal intussusception secondary to...

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Main Authors: Farehah Johari, Andee Dzulkarnaen Zakaria, Rosnelifaizur Ramely, Mohamed Arif Hameed Sultan, Muhamad Hud Muhamad Zin, Shahrunizam Awang Setia, Firdaus Hayati
Format: Article
Language:English
English
Published: Elsevier Inc 2024
Subjects:
R5-920 Medicine (General)
RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Online Access:https://eprints.ums.edu.my/id/eprint/42164/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/42164/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/42164/
https://doi.org/10.1016/j.radcr.2024.04.021
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spelling my.ums.eprints.421642024-12-16T02:59:27Z https://eprints.ums.edu.my/id/eprint/42164/ A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings Farehah Johari Andee Dzulkarnaen Zakaria Rosnelifaizur Ramely Mohamed Arif Hameed Sultan Muhamad Hud Muhamad Zin Shahrunizam Awang Setia Firdaus Hayati R5-920 Medicine (General) RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens A jejunal intussusception as a presentation of retroperitoneal liposarcoma (RLPS) is a rare occurrence. The majority of RLPS are presented as an abdominal mass, however, having a jejunal obstruction is an interesting case. The aim is to describe the management of jejunal intussusception secondary to atypical lipomatous tumours with concurrent RLPS. A 61-year-old lady presented with a sudden onset of intestinal obstruction with 1 month of constitutional symptoms and an enlarging right lumbar mass. Computed tomography showed a small bowel intussusception with diffuse peritoneal and retroperitoneal lipomatosis. Emergency exploratory laparotomy, segmental bowel resection, and partial excision of intraperitoneal mesenteric lipoma were performed. A stage En-bloc resection of the RLPS and right nephrectomy was done later. However, she refused for subsequent surgery. A complete resection is the gold standard in managing RLPS. In this report, the management is rendered not to the standard as the patient first presented with intestinal obstruction requiring emergency reduction with a piecemeal resection. A stage surgery was required to determine a promising prognosis, but the patient refused such surgery. A small bowel intussusception in adults is rare but is mostly caused by a tumor or neoplasm. Early recognition of the complexity of the case should be preempted and referred to the tertiary team for further definitive surgery. Patient exhaustion from the subsequent surgery might hamper the only management available for the case. Elsevier Inc 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/42164/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/42164/2/FULL%20TEXT.pdf Farehah Johari and Andee Dzulkarnaen Zakaria and Rosnelifaizur Ramely and Mohamed Arif Hameed Sultan and Muhamad Hud Muhamad Zin and Shahrunizam Awang Setia and Firdaus Hayati (2024) A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings. Radiology Case Reports, 19. pp. 3283-3286. ISSN 2908-2912 https://doi.org/10.1016/j.radcr.2024.04.021
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic R5-920 Medicine (General)
RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
spellingShingle R5-920 Medicine (General)
RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Farehah Johari
Andee Dzulkarnaen Zakaria
Rosnelifaizur Ramely
Mohamed Arif Hameed Sultan
Muhamad Hud Muhamad Zin
Shahrunizam Awang Setia
Firdaus Hayati
A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
description A jejunal intussusception as a presentation of retroperitoneal liposarcoma (RLPS) is a rare occurrence. The majority of RLPS are presented as an abdominal mass, however, having a jejunal obstruction is an interesting case. The aim is to describe the management of jejunal intussusception secondary to atypical lipomatous tumours with concurrent RLPS. A 61-year-old lady presented with a sudden onset of intestinal obstruction with 1 month of constitutional symptoms and an enlarging right lumbar mass. Computed tomography showed a small bowel intussusception with diffuse peritoneal and retroperitoneal lipomatosis. Emergency exploratory laparotomy, segmental bowel resection, and partial excision of intraperitoneal mesenteric lipoma were performed. A stage En-bloc resection of the RLPS and right nephrectomy was done later. However, she refused for subsequent surgery. A complete resection is the gold standard in managing RLPS. In this report, the management is rendered not to the standard as the patient first presented with intestinal obstruction requiring emergency reduction with a piecemeal resection. A stage surgery was required to determine a promising prognosis, but the patient refused such surgery. A small bowel intussusception in adults is rare but is mostly caused by a tumor or neoplasm. Early recognition of the complexity of the case should be preempted and referred to the tertiary team for further definitive surgery. Patient exhaustion from the subsequent surgery might hamper the only management available for the case.
format Article
author Farehah Johari
Andee Dzulkarnaen Zakaria
Rosnelifaizur Ramely
Mohamed Arif Hameed Sultan
Muhamad Hud Muhamad Zin
Shahrunizam Awang Setia
Firdaus Hayati
author_facet Farehah Johari
Andee Dzulkarnaen Zakaria
Rosnelifaizur Ramely
Mohamed Arif Hameed Sultan
Muhamad Hud Muhamad Zin
Shahrunizam Awang Setia
Firdaus Hayati
author_sort Farehah Johari
title A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
title_short A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
title_full A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
title_fullStr A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
title_full_unstemmed A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings
title_sort rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: an interesting radiological findings
publisher Elsevier Inc
publishDate 2024
url https://eprints.ums.edu.my/id/eprint/42164/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/42164/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/42164/
https://doi.org/10.1016/j.radcr.2024.04.021
_version_ 1818835183238905856
score 13.223943

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