Small bowel metastases with necrotizing enterocolitis like picture in high-grade osteogenic sarcoma: A pictorial report of a rare presentation

Osteogenic sarcoma is a high-grade tumor with greater preponderance for hematogenous metastasis. The most common sites for metastases are the lungs, bones, and lymph nodes. We present in this case report a 24-year-old man with recurrent high-grade osteogenic sarcoma of the right lower limb with serosal small bowel metastases and necrotizing enterocolitis. Sarcomas are high-grade tumors with an increased incidence of hematogenous metastases. Radiologists in oncological referral centers should be aware of the common as well as the uncommon presentation of all common tumors.