Massive lower gastrointestinal hemorrhage caused by a large extraluminal leiomyoma of the colon: report of a case

Diseases of the Colon and Rectum
Chuang-Wei ChenPei-Chieh Chao

Abstract

The occurrence of leiomyoma of the colon is uncommon. Most of these lesions are clinically silent and are found incidentally during laparotomy or endoscopic procedures for unrelated conditions. Symptomatic leiomyomas of the colon are encountered less frequently, with only sporadic reports in the literatures. We describe a heretofore unreported case of a large extraluminal leiomyoma of the sigmoid colon presenting as massive lower gastrointestinal hemorrhage. Because it was extraluminal in position, it was difficult to make an accurate diagnosis endoscopically and the condition was easily misdiagnosed as angiodysplasia of the colon until CT scan results were seen. Although rare and benign in nature, leiomyoma of the colon may cause life-threatening complications that require emergency surgery and should be included in the differential diagnosis of lower gastrointestinal hemorrhage.

References

Jul 1, 1975·Diseases of the Colon and Rectum·D B SwerdlowF Gradone
Jul 1, 1992·Journal of Clinical Gastroenterology·S C KadakiaK Seargent
Oct 1, 1993·Digestive Diseases and Sciences·H BjörnsdóttirH Gudjónsson
Mar 9, 2000·World Journal of Surgery·K F HatchJ E Skandalakis
Jun 23, 2000·Journal of Computer Assisted Tomography·S H LeeY H Auh

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Citations

May 27, 2015·International Surgery·Andrea SagnottaPaolo Mercantini
Oct 5, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ghadir SalameOvadia Abulafia

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