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Bleeding jejunal leiomyoma: a new approach

M Beajow1, H K Singh, D A Wiese

  • 1Department of Medicine, Michigan State University/McLaren Regional Medical Center, Flint.

The American Journal of Gastroenterology
|January 1, 1995
PubMed
Summary

This study details a rare case of massive rectal bleeding caused by a jejunal leiomyoma in a 90-year-old man. The successful treatment involved arterial embolization and laparoscopic resection, a novel approach for this condition.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Vascular Surgery

Background:

  • Small intestinal leiomyomas are common benign neoplasms, often asymptomatic.
  • However, they can manifest with significant symptoms, most notably bleeding, which can be life-threatening.

Observation:

  • A 90-year-old male presented with acute, massive rectal bleeding requiring transfusion.
  • Arteriography identified hemorrhage from a jejunal artery, initially suspected as an arteriovenous malformation.

Findings:

  • Arterial embolization was performed, followed by laparoscopic resection of a 4.5-cm extraluminal jejunal leiomyoma.
  • Pathological examination confirmed the diagnosis of leiomyoma.

Implications:

  • This case highlights a rare presentation of jejunal leiomyoma causing massive bleeding.

Related Experiment Videos

  • The combined approach of embolization and laparoscopic resection is a novel therapeutic strategy for such cases.