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. 2019 Jan;10(1):185-187.
doi: 10.3892/mco.2018.1768. Epub 2018 Nov 16.

Monophasic synovial sarcoma as a cause of obstructive ileus: A case report

Argyrios Ioannidis  1 , Christos Koutserimpas  2 , Athanasios Papatsoris  3 , Alexandra Argyrou  4 , Haralampos Deliveliotis  3 , Georgios Velimezis  1 , Athanasios-Meletios Dimopoulos  5
Affiliations

Monophasic synovial sarcoma as a cause of obstructive ileus: A case report

Argyrios Ioannidis et al. Mol Clin Oncol. 2019 Jan.

Abstract

Synovial sarcoma is a high-grade soft tissue sarcoma, divided histologically into 3 types: Monophasic, biphasic and poorly differentiated. An extremely rare case of obstructive ileus due to monophasic synovial sarcoma in a 54-year-old male patient is reported in the present study. The patient presented to the emergency department with signs and symptoms of obstructive ileus. Computer Tomography (CT)scan showed a pelvic mass (20×17×12 cm) causing obstruction at the sigmoid colon. An exploratory laparotomy through a midline incision was performed. The described mass was unresectable as it was infiltrating major vessels. Therefore, a diverting loop descending colostomy and biopsy of the solid mass were performed. Pathological examination revealed a monophasic synovial sarcoma. The patient was referred to the Department of Oncology and started treatment with doxorubicin and ifosfamide.

Keywords: ileus; monophasic synovial sarcoma; synovial sarcoma.

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Figures

Figure 1.
Figure 1.
Abdomen pre-operative MRI scan. (A) Sagittal and (B) axial views of the abdomen, revealing the mass. MRI, magnetic resonance imaging.
See this image and copyright information in PMC

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