Abstract
Clear cell sarcoma-like tumour of the gastrointestinal tract is a very rare tumour affecting young adults. This is the case of a nineteen year old acute lymphocytic leukemia patient in remission after chemotherapy who was found to have this tumour on mesenteric lymph node biopsy. She was found to have a primarytumour in her small bowel which was successfully excised, with postoperative pathology showing the immunohistochemical and genetic features typical for this neoplasm. These tumours are very rare and its important to identify and report all cases to gain a better understanding of their behaviour and treatment.