Korean J Gastroenterol.
2001 Aug;38(2):128-131.
A Case of Jejunal Leiomyoma Presenting with Recurrent Lower Gastrointestinal Bleeding
Abstract
- Small bowel tumors are rare, constituting 1.7-6.5% of all gastrointestinal tract neoplasms. Leiomyomas are uncommon benign tumors of smooth muscle and may occur wherever smooth muscle is present. The small bowel is the most frequent site and leiomyomas make up 20-30% of all benign small intestinal neoplasms. Bleeding is the most commom symptom and is usually recurrent. A 33-year-old man who came to emergency room complained of 3-day history of melena and hematochezia. An arteriogram revealed significant hemorrhage from jejunal branch of the superior mesenteric artery. Arterial embolization was performed, followed by laparoscopy-assisted small bowel resection after 17 days. Pathologic examinaton confirmed a diagnosis of leiomyoma.
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