Gastrointestinal Pathology: Small intestine: Leiomyosarcoma

A 1967 operative resection specimen from a 55 year old woman who had had melaena stools for several weeks before admission. She then developed the signs and symptoms of high intestinal obstruction. At laparotomy, intussusception of the jejunum with a polypoid tumour at its apex was found. The melaena had been due to an eroded vessel lying in the floor of an ulcer found in the lower jejunum. Post operatively she developed skin secondaries and died.