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Case Report
Sacral chordoma incidentally discovered in a patient with acute gastrointestinal perforation during his first visit to the hospital
1 Emergency Medicine Department, IMC Hospital, Jeddah, Saudi Arabia
2 General Surgery Department, IMC Hospital, Jeddah, Saudi Arabia
3 Medical Imaging Department, IMC Hospital, Jeddah, Saudi Arabia
4 Department of Clinical Pathology, IMC Hospital, Jeddah, Saudi Arabia
Address correspondence to:
Abdalla Ebrahim A Khalil
Emergency Medicine Department, IMC Hospital, Hail Street, POB 2172, Jeddah,
Saudi Arabia
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Article ID: 101106Z01AA2020
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How to cite this article
Alhadad A, Zeid GA, Badr B, Khalil AEA, Saleem N. Sacral chordoma incidentally discovered in a patient with acute gastrointestinal perforation during his first visit to the hospital. Int J Case Rep Images 2020;11:101106Z01AA2020.ABSTRACT
Introduction: Chordoma is a rare recurrent locally malignant bone tumor.
Case Report: A 41-year-old male patient presented to Emergency Medicine Department (EMD) with features of an acute abdomen. His chest X-ray showed air under the diaphragm, and the computed tomography (CT) abdomen revealed a soft tissue mass suggestive of a sacral chordoma. A few months before his EMD visit, he has received multiple courses of nonsteroidal anti-inflammatory drugs (NSAIDs) for back pain. The patient was operated upon as an emergency for the gastrointestinal perforation. He was operated upon electively for the mass later on. Histopathological exam after total resection at other center confirmed the diagnosis of chordoma.
Conclusion: After stabilization of patient and pain control, further history taking will be valuable to know the primary cause for the acute abdomen presentation.
Keywords: Acute surgical abdomen, Gastrointestinal perforation, NSAIDs, Sacral chordoma
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Acknowledgments
Authors would like to thank Dr. S. Alsheriff, Dr. M Attiyah, Dr. Z. Alsaka, and Dr. F. Batal for their support.
Author ContributionsAhmed Alhadad - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Georges Abi Zeid - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Badr Badr - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abdalla Ebrahim A Khalil - Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nasir Saleem - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Ahmed Alhadad et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
