A Case of Duodenal Leiomyosarcoma in a Patient with Colonic Angioysplasia.
- Author:
Dea Hyeok KIM
1
;
Kye Sook KWON
;
Hyeon Geun CHO
;
Pum Soo KIM
;
Hee Yong MOON
;
Yong Woon SHIN
;
Young Soo KIM
;
Mi Young KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Sungnam, Korea.
- Publication Type:Case Report
- Keywords:
Angiodysplasia;
Leiomyosarcoma;
Gastrointestinal bleeding
- MeSH:
Anemia, Iron-Deficiency;
Angiodysplasia;
Angiography;
Celiac Artery;
Colon*;
Colonoscopy;
Diagnosis;
Dizziness;
Duodenum;
Headache;
Hemorrhage;
Humans;
Leiomyosarcoma*;
Male;
Middle Aged;
Sarcoma;
Upper Gastrointestinal Tract
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(3):403-407
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Angiodysplasia is probably responsible for 2.6-6.2% of cases involving of lower gastrointestinal bleeding and 1.2-8.0% of cases involving hemorrhages from the upper GI tract. Small bowel neoplasia is rare, accounting for about 5% of gastrointestinal tumors overall and 2-3% of all malignacies. The third most common malignany of the small bowel is the sarcoma, of which the leiomyosarcoma is the most frequent. A 54-year-old male patient was admitted with the chief complaints of dizziness and headache during 2 months. Laboratory findings revealed iron deficiency anemia. A superior mesenteric arteriography found an intensive vascular stained mass in the hepatic flexure. A celiac artery angiography discovered a irregulary vascular stained lesion in the Ll vertebral level. A colonoscopy located a 10 mm sized angiodysplasia in the right colon. According to these findings, we presumed that these lesions are a colonic angiodysplasia and a suspicious duodenal lesion. The operation was perfomed. The final diagnosis was a colonic angiodysplasia combined with leiomyosarcoma of the duodenum. The rarity of this case is emphasized and the literative reviewed.
