ANGIOSARCOMA OF THE SMALL-INTESTINE - A CASE-REPORT AND LITERATURE-REVIEW

A case of primary intestinal angiosarcoma in a 59-yr-old man is report ed. The patient had recurrent gastrointestinal bleeding with normal up per and lower gastrointestinal endoscopies, technetium-99m-labeled ery throcyte scan, and angiography. Barium small bowel series and abdomina l computerized tomography showed an ileal mass. Pathological examinati on was consistent with hemangiosarcoma with both solid and vasoformati ve patterns. Metastatic disease was also identified in the small bowel mesentery, liver, spleen, lungs, and brain. No identifiable underlyin g or epidemiologic factors have previously been reported to be associa ted with this rare type of tumor of the gastrointestinal tract. The pe rtinent literature on gastrointestinal angiosarcoma also is reviewed.