A 45-year-old female who presented with nausea, vomiting, abdominal pain, and anemia was found to have an 8 × 5 × 5 cm ileal tumor on CT imaging. Laparoscopic evaluation and small bowel resection was performed with clear margins with a diagnosis of low-grade leiomyosarcoma. Small intestine leiomyosarcoma is very rare, and there are no prior reports of laparoscopic resection.
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