Jejunojejunal intussusception by a sarcomatoid carcinoma of jejunum – a rare case report

Background: Jejunojejunal intussusceptions are not common in adults and it usually has a pathological lead point. The lead point being a sarcomatoid carcinoma is extremely rare.
Case presentation: We present a case of a sarcomatoid carcinoma of the jejunum in a 49-year-old male patient with features suggestive of small bowel obstruction. Radiological imaging revealed jejunojejunal intussusception with left sided pleural effusion and expansile lytic lesion in left sacral vertebrae. The patient underwent surgical resection of the jejunum and pathology revealed jejunal sarcomatoid carcinoma. He died 5 weeks after surgery.
Conclusion: Sarcomatoid carcinoma of the jejunum has a worse prognosis. Treatment modality remains a challenge but surgery is still considered optimal treatment.