Rectal Leiomyoma, a Rare Entity

Sunkara, Tagore; Then, Eric O.; Culliford, Andrea; Gaduputi, Vinaya

doi:10.4081/cp.2018.1053

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…The leiomyoma have exhibited positivity for smooth muscle actin and negativity for CD117 and CD34 (c-Kit). Desmin may be absent, or it may be expressed later [4,7]. Histological patterns are similar to those of leiomyosarcoma, but in leiomyosarcoma, a higher degree of cellular atypical activity with local pleomorphic and increased mitotic activity is expressed.…”

Section: Discussionmentioning

confidence: 99%

Rare case of an anorectal leiomyoma

et al. 2020

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Introduction. Leiomyoma is a kind of benign tumors of smooth muscle origin, occurring mostly throughout the genitourinary system. They are rarely found in the anorectal region, where they represent less than 0.1% of the tumors of the rectum. Due to this exceptional occurrence, we report a case of leiomyoma arising in the anorectal region. Case outline. A 43-year-old otherwise healthy woman presents with the big mass in analorectal region. Major complain is pain and discomfort while sitting. Magnetic resonance imaging is done and pathohistology report confirmed large leiomyoma. Abdominoperianeal resection of the rectum was performed due to the size of the tumor. Postoperative course was uneventful. Conclusion. There is no gold standard technique, and decision about the best surgical approach for all pathohistological types of tumors in the anorectal region. The decision sometimes has to be made according to size and major complains.

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Section: Discussionmentioning

confidence: 99%

Rare case of an anorectal leiomyoma

et al. 2020

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“…In 2018, the patient showed a symptomatic incisional perineal hernia and a pre-sacral local recurrence of the neuroendocrine tumour. The recurrence was resected and the hernia repaired through a Pfannenstiel incision as previously described [1].…”

Section: Supporting Informationmentioning

confidence: 99%

“…Dear Editor, Iatrogenic colonoscopic perforation is a rare but serious complication during colonoscopy. The recent guidelines suggest a perforation rate following complex polypectomy of 1% or less [1].…”

Section: Supporting Informationmentioning

confidence: 99%

“…The management options for patients with colonoscopic perforation include conservative management (haemodynamically stable, no sepsis, localized pain, no free fluid on CT), endoscopic closure (within 4 h, small size, cause of perforation and experience of endoscopist) or emergency surgery (peritonitis, clinical deterioration, suspected large perforation, poor bowel preparation, underlying colonic disease) [1]. Those patients needing surgery can be explored laparoscopically depending upon the surgical expertise and the patient's suitability for laparoscopy.…”

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confidence: 99%

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Recurrent perineal hernia repair: perineal approach – a video vignette

2020

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Less frequently, they are located along the digestive tract. Rectal leiomyoma is a rare entity, comprising about 0.03%-0.05% of all rectal tumours [1]. Robotic surgery has been proposed over the last decade as a valid option to treat gastrointestinal neoplasms with different grades of malignancy in a minimally invasive method [2]. The most convincing indications for robotic surgery are procedures that involve a small, narrow operating field or that require extreme accuracy, fine dissection and endoscopic suturing. Thus, the major technical advantages of robot assistance in benign or low-malignant lesions may be appreciated in terms of an organ-preserving procedure for critical anatomical localization, such as a rectal leiomyoma [3]. We present the case of a 54-year-old woman (body mass index 26.7) with a 7 9 5 9 3.5 cm leiomyoma located posterolaterally to the middle-low rectum. Surgery was carried out with the da Vinci robot system Xiâ (Intuitive Surgical, Sunnyvale, California, USA) with a single docking approach. Six trocars were used. The patient underwent a total robotic transabdominal extra-mucosal rectal enucleation. A direct hand-sewn suture of the incision was performed. The hydropneumatic test was negative. Histological examination confirmed the diagnosis of leiomyoma. The postoperative period was uneventful, and the patient was discharged after 5 days. Video S1 shows that robotics represent a valid option for organ-preserving surgical treatment of benign or low-malignant neoplasms in difficult anatomical locations.

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“…Less frequently, they are located along the digestive tract. Rectal leiomyoma is a rare entity, comprising about 0.03%–0.05% of all rectal tumours [1].…”

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confidence: 99%