Massive Lower Gastrointestinal Hemorrhage Caused by a Large Extraluminal Leiomyoma of the Colon: Report of a Case

Chen, Chuang-Wei; Jao, Shu-Wen; Wu, Chang-Chieh; Ou, Jing‐Jim; Hsiao, Cheng–Wen; Chao, Pei-Chieh

doi:10.1007/s10350-007-9190-3

Cited by 9 publications

(16 citation statements)

References 8 publications

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“…Leiomyomas can be asymptomatic and can be detected during routine colonoscopy. When symptomatic, the symptoms range from abdominal pain, altered bowel habit and bleeding [7]. Large leiomyomas are also known to cause compressive and obstructive symptoms based on location.…”

Section: Discussionmentioning

confidence: 99%

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Cecal Leiomyoma: Can We Attempt Endoscopic Resection?

et al. 2016

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Gastrointestinal leiomyomas are smooth muscle tumors arising from the muscularis mucosae, muscularis propriae and possibly from smooth muscle of the vessel wall. Management depends on the size, location and the clinical scenario. Endoscopic snare cauterization with or without saline lift has been described in literature for tumors involving the left colon. To the best of our knowledge, endoscopic resection of right colon leiomyoma was never attempted in the past. We present a case of cecal leiomyoma which was resected endoscopically.

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Section: Discussionmentioning

confidence: 99%

“…Other endoscopic appearances have also been described including the vascular ectasia and ulceration [7]. …”

Section: Discussionmentioning

confidence: 99%

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Cecal Leiomyoma: Can We Attempt Endoscopic Resection?

et al. 2016

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“…Complete surgical resection with clear margins is the mainstay treatment for these tumours. Although most case series show good prognosis with no recurrence in extrauterine leiomyomas, there is a small potential for recurrence in patients with positive resection margins [5,6,20,21] . Regrowth of extrauterine leiomyomas has been documented in up to 30% of patients [4] .…”

Section: Discussionmentioning

confidence: 99%

Extrauterine myxoid leiomyoma mimicking an aggressive angiomyxoma

Chung

Hennedige

Sittampalam

et al. 2014

CRCP

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Introduction: Leiomyomas are benign smooth muscle tumours that usually arise from the uterus. Extrauterine leiomyomas are rare. We present a case of an extrauterine myxoid leiomyoma in a perimenopausal woman. Case:A 47-year-old woman presented with an increase in abdominal girth. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans revealed a large, lobulated, complex mass occupying the lower abdomen and pelvis with extension to the left ischiorectal fossa. An aggressive angiomyxoma (AAM) was considered as one of the differentials for this mass. Multiple attempts at radiological guided biopsy were performed, but with non-diagnostic yield. Intraoperatively, the mass encased the sigmoid colon, rectum, vaginal wall, and was adherent to bilateral pelvic sidewalls, pelvic floor, and left ischiorectal fossa. Enbloc resection of the mass, including an abdominoperineal resection and a total abdominal hysterectomy bilateral salpingo-oophrectomy (TAHBSO) was performed. Final histology showed features consistent with myxoid leiomyoma (ML). Conclusion:The radiological and pathological resemblance of ML and AAM presents a great diagnostic challenge. However, the actual diagnosis lies in the pathological analysis. Surgical resection with clear margins is the treatment of choice in the absence of a definite diagnosis. Prognosis of these tumours is generally good with low recurrence rates.

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“…Of colorectal cancers, 34.5% present with chronic melena, commonly associated with erosion and hemorrhage of the primary tumor (2). A number of cases of patients presenting with acute massive hemorrhage from the rectum have been reported (3)(4)(5)(6)(7). Acute massive hemorrhage from the upper gastrointestinal tract is rare in patients with colorectal cancer.…”

Section: Introductionmentioning

confidence: 99%

Severe esophageal bleeding in colorectal cancer due to antitumor therapy: A case report

Shen

et al. 2015

Oncology Letters

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Abstract. Colorectal cancer is the third most common type of cancer worldwide, with >1 million cases diagnosed each year. Gastrointestinal bleeding is a common complication of colorectal cancer and is usually associated with the erosion and hemorrhage of the primary tumor. However, in patients who undergo a radical hemicolectomy and do not develop local recurrence, gastrointestinal bleeding may be a result of medical treatments or comorbidities. Esophageal bleeding in such patients is rare. Here, a case of severe esophageal bleeding due to anti-angiogenesis therapy with bevacizumab, and chemotherapy with the FOLFIRI regimen (irinotecan, folinic acid and 5-fluorouracil) in a patient with colorectal cancer is reported, and the possible pathogenesis of this event is analyzed based on the existing literature, in order to provide a reference for such cases.

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Massive Lower Gastrointestinal Hemorrhage Caused by a Large Extraluminal Leiomyoma of the Colon: Report of a Case

Cited by 9 publications

References 8 publications

Cecal Leiomyoma: Can We Attempt Endoscopic Resection?

Cecal Leiomyoma: Can We Attempt Endoscopic Resection?

Extrauterine myxoid leiomyoma mimicking an aggressive angiomyxoma

Severe esophageal bleeding in colorectal cancer due to antitumor therapy: A case report

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