Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity – a case report

Authors

Keywords:

rhabdomyosarcoma, metastasis, adolescent, embryonal

Abstract

Rhabdomyosarcoma is the most common soft tissue tumour in children and adolescents, but extremely rare in adults with comparatively worse outcomes. Metastatic disease is not uncommon, but intra-abdominal metastases are exceedingly rare. We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.

Author Biographies

P Joubert, New Somerset Hospital

Department of Surgery, New Somerset Hospital, South Africa

M Mihalik, New Somerset Hospital

Department of Surgery, New Somerset Hospital and Department of General Surgery, Groote Schuur Hospital, South Africa

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Published

2023-12-14

Issue

Section

Case Report