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Ulcerated gastric leiomyoma causing massive upper gastrointestinal bleeding: A case report
Daryl Ramai1,2, Qiuxue T Tan2, Sofia Nigar1
1Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA.
Molecular and Clinical Oncology
|May 5, 2018
Summary
A rare benign submucosal tumor, leiomyoma, was found in a 68-year-old female presenting with hematemesis. Histopathology confirmed leiomyoma, prompting a discussion on its clinical presentation and management.
Area of Science:
- Gastroenterology
- Pathology
- Oncology
Background:
- Leiomyomas are rare, benign submucosal tumors of smooth muscle origin.
- Typically asymptomatic with an excellent prognosis.
Purpose of the Study:
- To report a rare case of leiomyoma presenting with hematemesis.
- To discuss the clinical presentation, diagnosis, and management of leiomyomas.
Main Methods:
- Esophagogastroduodenoscopy for hematemesis.
- Histopathological examination with immunohistochemical staining (smooth muscle myosin heavy chain, CD117, S-100).
Main Results:
- A solitary leiomyoma was identified in a 68-year-old female.
- Histopathology confirmed smooth muscle proliferation consistent with leiomyoma.
Conclusions:
- Leiomyomas can present symptomatically, such as with hematemesis.
- Accurate diagnosis and understanding of leiomyoma characteristics are crucial for management.
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