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Solitary fibrous tumour of caecum wall: an unlikely cause of low gastrointestinal haemorrhage
  1. Mariana Nogueira Santos1,
  2. Amelia Brandao Tavares1,
  3. Fernando Arruda Viveiros1,
  4. Helena Baldaia2
  1. 1General Surgery, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  2. 2Anatomical Pathology, LAP—Laboratório Anatomia Patológica—Unilabs, Porto, Portugal
  1. Correspondence to Dr Mariana Nogueira Santos, marianamnsantos{at}


Solitary fibrous tumour (SFT), previously denominated as haemangiopericytoma, is a rare, spindle cell neoplasm that was first described in the thoracic pleura. It is now known that this tumour may develop from almost any anatomic location. We report a case of SFT, in a 65-year-old man, which was located in the muscularis propria layer of the caecum with involvement of the serosa and the ileocecal appendix, location never described in the literature, and with an uncommon clinical presentation of hematochezia. A radical right hemicolectomy was performed, and the patient was asymptomatic without evidence of metastasis or relapse after 6 months of follow-up.

  • gastrointestinal surgery
  • gi bleeding

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  • Contributors MNS performed surgery, contributed to case report writing, data collection and discussion writing. HB contributed to histological images and their description. ABT, FAV and HB critically reviewed the manuscript.

  • 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.