Small bowel and lung histiocytic sarcoma revealed by acute peritonitis: A case report with review of literature

Ahlem Bellalah; Ibtissem Korbi; Seifeddine Ben Hammouda; Asma Achour; Nouha Ben Abdeljelil; Manel Njima; Amira Daldoul; Rim Hadhri; Leila Njim; Abdelfatteh Zakhama

doi:10.1016/j.amsu.2021.102638

Small bowel and lung histiocytic sarcoma revealed by acute peritonitis: A case report with review of literature

Ann Med Surg (Lond). 2021 Jul 27:68:102638. doi: 10.1016/j.amsu.2021.102638. eCollection 2021 Aug.

Authors

Ahlem Bellalah^{1

2}, Ibtissem Korbi^{3

2}, Seifeddine Ben Hammouda^{1

2}, Asma Achour^{4

2}, Nouha Ben Abdeljelil^{1

2}, Manel Njima^{1

2}, Amira Daldoul^{5

2}, Rim Hadhri^{1

2}, Leila Njim^{1

2}, Abdelfatteh Zakhama^{1

2}

Affiliations

¹ Department of Pathology, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.
² Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.
³ Department of Digestive Surgery, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.
⁴ Department of Radiology, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.
⁵ Department of Carcinology, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.

Abstract

Introduction and importance: Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by extranodal presentation and a poor clinical course, particularly in cases with disseminated disease.

Case presentation: This report documents a case of bifocal and aggressive HS in small bowel and lung revealed by acute peritonitis in a 63-year-old man.

Clinical discussion: Despite its rarity, we believe that the correct diagnosis of HS is crucial for clinical treatment and prognostic prediction.

Conclusion: The collection of additional cases of HS are important to obtain further progress in prognosis and guide treatment decisions.

Keywords: Acute peritonitis; Histiocytic sarcoma; Lung; Prognosis; Small intestine.

Publication types

Case Reports