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Rare disease
CASE REPORT
Synovial sarcoma of the transverse colon: a rare cause of intussusception
  1. Yongjin Felix Lee1,
  2. Robert K Cleary2
  1. 1General Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA
  2. 2Colon and Rectal Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA
  1. Correspondence to Dr Yongjin Felix Lee, yongjin.lee{at}stjoeshealth.org

Summary

We report a third case of a primary intramural synovial sarcoma of the lower gastrointestinal tract. A 50-year-old woman presented with hematochezia, dizziness and shortness of breath. CT imaging revealed a transverse colo-colonic intussusception with a colonic mass serving as a lead point. A subtotal colectomy was performed with oncologic resection of a sausage-like mass in the mid-transverse colon. Pathological assessment showed a biphasic synovial sarcoma. The postoperative hospital course was without complications and the patient was discharged home with plans for postoperative surveillance.

  • colon cancer
  • gastrointestinal surgery
  • surgical oncology

https://doi.org/10.1136/bcr-2018-224198

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    Footnotes

    • Contributors YFL collected patient information, performed literature review and drafted and revised the paper. RKC obtained consent from the patient, performed the operation and revised the draft paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.