Abstract
We report a case of leiomyosarcoma of the ileum presenting with ruptured liver abscesses. A 76-year-old woman was admitted to the hospital because of fever, abdominal pain, tenderness and muscular defense. Ultrasonography and CT scan of the upper abdomen showed ascites and low density lesions in dthe liver. Emergency laparotomy showed panperitonitis due to ruptured liver abscesses. A Streptococcus intermedius and Candida albicans were cultured from the purulent fluid collection. At the operation, abdominal cavity inspection revealed an 11 cm solid tumor arising from the pelvis, identified as leiomyosarcoma with central necrosis draining to the ileal lumen. Segmental resection of the ileum was performed 39 days after the first operation when her general condition was restored. The liver abscesses were considered originating from infection of the tumor with central necrotic cavity, disseminating to the liver through the portal blood.
