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Case Reports in Surgery
Volume 2016, Article ID 8251043, 3 pages
http://dx.doi.org/10.1155/2016/8251043
Case Report

Undifferentiated Pleomorphic Sarcoma Presenting as Abdominal Pain with a Pulsatile Mass

1Department of General and Vascular Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Department of Pediatric Surgery, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Received 6 February 2016; Accepted 5 July 2016

Academic Editor: Jochen Tüttenberg

Copyright © 2016 Arash Moradi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malignant fibrous histiocytoma (MFH) is a rare tumor that mostly involves adults aged 50 to 70. The most common anatomic location is the lower extremities. MFH of the retroperitoneum usually manifests late in its course and may be initially mistaken with other more common diagnosis. Here, the authors describe a 60-year-old man that was brought to the emergency department with a chief complaint of periumbilical abdominal pain. Our patient presented with symptoms consistent with a symptomatic aortic aneurysm, but a mass was encountered during surgery. In such circumstances the diagnosis of malignant sarcoma must be kept in mind and attempts at full resection with tumor-free margins are necessary.