Pleomorphic sarcomas are a subtype of soft tissue sarcomas occurring most commonly in the proximal thigh, with a male preponderance, common in 7th and 8th decades of life. It is a locally invasive tumour with a wide clinical presentation.
A 4-year old male, of asian descent, was brought into the emergency department with abdominal cramps, vomiting and bloody diarrhoea that had started 24 hours before her admission. The patient was had vomited 4 times before he came in for admission, and was passing grossly bloody stools. The parents did not notice any precipitating events before the onset of symptoms, nor had he eaten anything out of the ordinary. On a detailed history and a physical examination, it was noted that the child was extremely dehydrated, did not tolerate oral feeds, irritable, with sunken eyes. No pallor, icterus or any skin rash was noted. The patient did exhibit tenderness, in the lower abdominal area, without rigidly, guarding or other signs that suggested peritonitis. Immediate intravenous access with 0.9% Normal saline was started and a diagnosis of gastroenterocolitis was considered initially, but as the patient's abdominal pain worsened, the possibility of a perforated appendix was considered. Imme-
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.