Jornal de Patologia Médica e Cirúrgica
Acesso livre

Abstrato

Intra-abdominal Synovial Sarcoma Presenting as Hemoperitoneum: A Case Report and Review of the Literature

Elizabeth L McKinnon, Thomas J Cummings, Xiaoyin Sara Jiang

Synovial sarcoma is a soft tissue malignancy that generally arises adjacent to joint capsules. The development of this entity in the abdomen is an uncommon presentation. We present a case of a 38-year old male who presented to the emergency room with anemia and abdominal pain. The patient was found to have hemoperitoneum, and on imaging the patient was also noted to have nodular lesions of the abdominal wall and diaphragm. Histopathological analysis of these lesions revealed malignancy. An extensive immunohistochemical and genetic analysis was performed to classify the lesion, and it was diagnosed as primary intra-abdominal synovial sarcoma. We explore the intricacies of making this critical diagnosis and review the literature of primary intra-abdominal synovial sarcoma.