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©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2005; 11(41): 6560-6562
Published online Nov 7, 2005. doi: 10.3748/wjg.v11.i41.6560
Published online Nov 7, 2005. doi: 10.3748/wjg.v11.i41.6560
Splenic angiosarcoma metastasis to small bowel presented with gastrointestinal bleeding
Jun-Te Hsu, Ting-Jun Wu, Han-Ming Chen, Tsann-Long Hwang, Yi-Yin Jan, Department of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan, China
Chin-Yew Lin, Department of Pathology, Chang Gung Memorial Hospital, Keelung, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Han-Ming Chen, Department of General Surgery, Chang Gung Memorial Hospital, 5, Fushing Street, Kweishan Shiang, Taoyuan 333, Taiwan China. ming1838@yahoo.com
Telephone: +886-3-3281200-3219 Fax: +886-3-3285818
Received: April 25, 2005
Revised: May 9, 2005
Accepted: May 12, 2005
Published online: November 7, 2005
Revised: May 9, 2005
Accepted: May 12, 2005
Published online: November 7, 2005
Abstract
Primary splenic angiosarcoma is a very rare, aggressive neoplasm with a high metastatic rate and dismal prognosis. This neoplasm usually presents with abdominal pain, splenomegaly, anemia, and thrombocytopenia. Splenic angiosarcoma with bleeding gastrointestinal metastases is extremely rare. The literature contains only two case reports. This study reported a 44-year-old male patient with splenic angiosarcoma with sustained repeated gastrointestinal bleeding due to small bowel metastases. Salvage surgery was performed by splenectomy and resection of the metastatic small bowel tumors. The post-operative course was uneventful; the patient survived with the disease and had no GI bleeding, 7 mo after surgery.