Massive intraperitoneal hemorrhage caused by a giant exogastric leiomyoblastoma
| Autor: | Joana Delladetsima, Panayiotis E. Karayiannacos, Andromachi Glinavou, Gregory Kouraklis, Gabriel Karatzas |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Gastrointestinal tract Pathology medicine.medical_specialty business.industry Stomach Hemorrhage Leiomyoma Epithelioid General Medicine Peritoneal Diseases Curvatures of the stomach Lesion medicine.anatomical_structure Stomach Neoplasms Intraperitoneal hemorrhage Smooth Muscle Tumor medicine Humans Female Surgery Hemoperitoneum medicine.symptom business Collapse (medical) |
| Zdroj: | Surgery Today. 28:293-295 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s005950050124 |
| Popis: | Leiomyoblastomas account for a small percentage of smooth muscle tumors of the stomach. Intraperitoneal bleeding is an unusual and unexpected presenting sign. We herein present a 43-year-old woman who was urgently operated on due to signs of collapse. A large hemorrhagic mass measuring 25 x 18 x 15 cm was found arising from the greater curvature of the stomach. A histologic examination demonstrated rounded and spindle cells, and rare mitoses were also seen. Although the number of mitoses was small, the lesion was nevertheless felt to be consistent with malignant leiomyoblastoma because of its large size. Three years later the patient is doing well with no evidence of tumor recurrence. We conclude that intraperitoneal bleeding due to leiomyoblastoma of the gastrointestinal tract is an extremely rare phenomenon and has been described only in a few reports, and only one other previous case presented with signs of collapse. |
| Databáze: | OpenAIRE |
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