Rare presentation of small bowel leiomyosarcoma with liver metastases

Intraabdominal sarcomas are rare rumours usually diagnosed at an advanced s tage. These lesions at presentation are bulky and symptoms are often relate d to pressure effects on adjacent organs. This case report describes a rare presentation of a small bowel leiomyosarcoma whose initial presentation wa s free haemorrhage into the abdominal cavity and concomitant liver metastas es. This case report also demonstrates that, even with such a rare presenta tion, an aggressive surgical approach is indicated in this type of tumour a nd helps a patient with advanced disease to live a few disease-free months with a good quality of life.