case_images: PMC11192599_01
case_images: Representative images of the patient's CT abdomen/pelvis with IV contrast showing a large, lobulated heterogeneous abdominal mass in images (a) and (b) and omental nodules in images (c) and (d).
case_images: CRIS2024-6651107.001.jpg
case_images: PMC11192599_01_CRIS2024-6651107.001.jpg
case_images: fig1
case_images: He underwent computed tomography (CT) scan of the abdomen and pelvis, which showed a lobulated, heterogeneous abdominal mass measuring 20.5 x 18 x 16.5 cm with mesenteric lymphadenopathy and omental nodules concerning for metastatic disease (Figure 1).
case_images: Images of the resected specimen. (a) Photo of the specimen after resection. The section of resected colon is in the upper left corner of the photo. (b) Photo of cross-section of the leiomyoma after formalin fixation.
case_images: CRIS2024-6651107.002.jpg
case_images: PMC11192599_01_CRIS2024-6651107.002.jpg
case_images: fig2
case_images: Its gross appearance was pink-tan and encapsulated with adherence to the colonic serosa (Figure 2).
case_images: A 200x magnification microscopic image of the tumor with hematoxylin and eosin staining showing tumor cells with bland spindle-shaped nuclei and eosinophil cytoplasm arranged in intersecting fascicles. A large thin-wall benign vessel is noted at the right side of the image.
case_images: CRIS2024-6651107.003.jpg
case_images: PMC11192599_01_CRIS2024-6651107.003.jpg
case_images: fig3
case_images: The tumor was mostly solid and composed of bland leiomyoma cells with degenerative changes of ischemic necrosis, hyalinization, and myxoid change (Figure 3).