Leiomyoma of the cecum presenting as an acute surgical abdomen

Swerdlow, Dave B.; C, Pecora; Gradone, Frank

doi:10.1007/bf02587441

Cited by 5 publications

(1 citation statement)

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“…[1][2][3] Rarely acute surgical abdomen may be due to complications as ulceration, 10 intussusception, 11 and perforation. 12 Our patient presented with abdominal pain associated to worsening obstructive symptoms with diagnosis of pelvic mass probably arising from the mesentery but utero-adnexal origin could not be excluded, although CA-125 and gynecological examination were negative.…”

Section: Discussionmentioning

confidence: 71%

Giant Extraluminal Leiomyoma of the Colon: Rare Cause of Symptomatic Pelvic Mass

Sagnotta¹,

Sparagna²,

Uccini

et al. 2015

International Surgery

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Leiomyomas (LMs) may appear throughout the entire gastrointestinal tract but are rarely seen in the colon-rectum and only 5 of those measured greater than 15 cm in diameter. Pain and palpable abdominal mass are the most common symptoms. Surgical resection is the treatment of choice for most LMs. We here describe a case of a 46-year-old woman who presented with a 3-month history of abdominal pain associated with worsening constipation and abdominal distension. A pelvic solid, polylobulate, left-sided mass was noted on examination. Preoperative findings revealed a dishomogeneous sigmoid mass with calcified spots compressing small intestine and bladder. At laparotomy, a large polylobulate and well-circumscribed mass arising from the descending colon mesentery and displacing small intestine, uterus, and ovaries. A segmental colon resection was performed. An extraluminal 18- × 12- × 5-cm paucicellular sigmoid colon leiomyoma was histologically diagnosed. Our case is one of the few giant (>15 cm) sigmoid colon LMs reported in the literature. Although rare and benign in nature, LMs of the colon can cause life-threatening complications that could require emergency treatment and they should be included in the differential diagnosis of large abdominopelvic masses. Follow-up after surgery is necessary for tumors with any atypia or mitotic activity.

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Section: Discussionmentioning

confidence: 71%