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Gastric leiomyoma presenting as gastric volvulus
Chandrasekhar Reddy Deevaguntla1, B Prabhakar, G R Prasad
1Department of Gastroenterology, Osmania General Hospital, Afzalgunj, Hyderabad 500 012.
Summary
A 45-year-old woman with gastric volvulus experienced symptom relief after endoscopic detorsion. Surgical excision revealed a leiomyoma, a benign smooth muscle tumor.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Gastric volvulus is a rare condition causing upper abdominal pain and vomiting.
- Early diagnosis and intervention are crucial for patient outcomes.
Observation:
- A 45-year-old female presented with symptoms suggestive of gastric volvulus, including vomiting, retching, and epigastric pain.
- Endoscopic detorsion successfully corrected the gastric volvulus.
Findings:
- A tumor was identified along the greater curvature of the stomach post-detorsion.
- Histopathological examination confirmed the tumor to be a leiomyoma, a benign smooth muscle neoplasm.
Implications:
- This case highlights the importance of thorough examination after endoscopic procedures for gastric volvulus.
- Leiomyomas, though benign, require surgical excision if symptomatic or large.
- Accurate histological diagnosis is essential for appropriate management of gastric tumors.