A Case of Pedunculated Leiomyoma Found during Colonoscopic Examination for Anal Bleeding.
- Author:
Han Su CHO
1
;
Hak Yang KIM
;
Young Lim SONG
;
Ho Sung YOON
;
Hee Seon KIM
;
Chang Ok KOH
;
Jin Wook CHOI
;
Ja Young LEE
;
Kyung Ho KIM
;
Joon Yong PARK
;
Jin Heon LEE
;
Jae Young YOO
;
Seong Jin CHO
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. bacter@hallym.or.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Colonic polyp;
leiomyoma;
Polypectomy;
Gastrointestinal hemorrhage
- MeSH:
Aged;
Anus;
Colonic Neoplasms/complications/*diagnosis;
*Colonoscopy;
English Abstract;
Female;
Gastrointestinal Hemorrhage/*etiology;
Humans;
*Leiomyoma/complications/*diagnosis
- From:The Korean Journal of Gastroenterology
2004;43(2):129-132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal leiomyomas are commonly found in the stomach, and but 3% of them arises from the colon. Colonic leiomyomas are often found incidentally during colonoscopic examination. Most of patients with colonic leiomyoma are asymptomatic, but patients with large size leiomyoma occasionally have abdominal mass, hemorrhage, intestinal obstruction or perforation. Pedunculated leiomyomatous polyp is rare. Leiomyomatous polyps are occasionally misjudged as adenomatous polyps by endoscopist. We report a case of pedunculated leiomyomatous colonic polyp in 65 year-old female patient. She has complained of intermittent hematochezia and lower abdominal discomfort for 5 months. During colonoscopy, an 1 cm sized long pedunculated polyp at the splenic flexure was detected. It was removed by colonoscopic snare polypectomy. Leiomyomatous polyp was confirmed by microscopic and immunohistochemical findings.
