Primary extraskeletal osteosarcoma of small bowel mesentery presenting with acute bowel obstruction

Authors

DOI:

https://doi.org/10.3941/jrcr.v15i12.4329

Keywords:

Extraskeletal osteosarcoma, Mesentery, Ossification, Sarcoma, Soft tissue neoplasms

Abstract

Extraskeletal osteosarcoma of the small bowel mesentery is an exceedingly rare condition. It is an aggressive malignant neoplasm of mesenchymal origin characterized by osteoid formation. Final diagnosis is often made by histopathological analysis. However, we believe that prospective radiological diagnosis may be possible through careful analysis of densities (ossification) within the mesenteric mass. To the best of our knowledge, there is no current literature describing the radiological approach to making a prospective diagnosis of this condition. We present the 12th case of extraskeletal osteosarcoma worldwide and describe a radiological approach that is potentially useful in making a prospective diagnosis.

Author Biographies

Gabriel Yihan Tong

MBBS

Medical Officer

Department of Diagnostic Radiology

Khoo Teck Puat Hospital

90 Yishun Central, Tower B, Level 2,

Singapore 768828

Kheng Song Leow

MD, FRCR

Associate Consultant

Department of Radiology

Woodlands Health Campus

2 Yishun Central 2, Tower E, Level 5,

Singapore 768024

Sivaraj Gunasekaran

MBBS, MMed (Surgery), FRCS (Edin)

Consultant

Department of General Surgery

Khoo Teck Puat Hospital

90 Yishun Central,

Singapore 768828

Susan Swee-Shan Hue

MBBS, FRCPA, Ph.D.

Consultant

Department of Pathology

National University Hospital

Main Building Level 3, 5 Lower Kent Ridge Road

Singapore 119074

Sivasubramanian Srinivasan

FRANZCR, FRCR, EBIR

Consultant

Department of Diagnostic Radiology

Khoo Teck Puat Hospital

90 Yishun Central, Tower B, Level 2,

Singapore 768828

Published

2021-12-31

Issue

Section

Gastrointestinal Radiology