The image shows histiocytic sarcoma of small bowel that caused intestinal obstruction. The patient presented to the emergency room with severe abdominal pain, nausea and vomitting. There was history of fever and progessive weight loss. The intestinal architecture is distorted by sheets of pleomorphic tumor cells with abundant eosinophilic cytoplasm. There is an infiltrate of eosinophils, lymphocytes, and plasma cells in the background (images 10-15).