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The pathological findings were leiomyosarcoma. Gastrointestinal sarcoma is sometimes found by bleeding. In our patient, leiomyosarcoma invaded surrounding intestine, it made the intestine wall frail and caused perforation. The intestinal perforation which was involved by leiomyosarcoma has been rarely reported to the best of our knowledge since WHO refined leiomyosarcoma. Although intestinal leiomyosarcoma is rare, we should know that it can involve surrounding intestines and make them perforated. Although intestinal leiomyosarcoma is rar