The clinical and histological findings of a patient with a primary omental leiomyosarcoma are described.
Case report: A 29 years old female patient presented with a 11 month history of constipation, progressive abdominal swelling and weight gain over the last 4 months. On physical examination a large abdominal tumor was found. An ultrasonographic evaluation disclosed a giant mass with a mixed content, of approximately 40 x 17 cm size. Two days latter a celiotomy was done, finding the tumor mass depending of the great omentum, with high vascularity and no evidence of metastasis. A complete resection was performed. The histopathologic report was of primary omental leiomyosarcoma. This tumor is very rare and the case presented is possibly the sixth in the indexed world literature.