Abstract
Leiomyosarcomas are very rare soft tissue sarcomas originating from smooth muscle cells. This neoplasm can develop in various places around the body, including but not limited to the uterus, retroperitoneum, colon, blood vessels, and bladder. This case report details the discovery of a cecal leiomyosarcoma in a patient who presented to the emergency department after a year of abdominal pain, fatigue, and unexpected weight loss. The report will discuss the available literature on leiomyosarcoma, the surgical approach for management in this patient, and post-operative management.