Korean J Gastrointest Endosc.  1998 Jun;18(3):403-407.

A Case of Duodenal Leiomyosarcoma in a Patient with Colonic Angioysplasia

• Kim DH
• Kwon KS
• Cho HG
• Kim PS
• Moon HY
• Shin YW
• Kim YS
• Kim MY

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.

Keyword

Angiodysplasia; Leiomyosarcoma; Gastrointestinal bleeding

MeSH Terms

Anemia, Iron-Deficiency
Angiodysplasia
Angiography
Celiac Artery
Colon*
Colonoscopy
Diagnosis
Dizziness
Duodenum
Headache
Hemorrhage
Humans
Leiomyosarcoma*
Male
Middle Aged
Sarcoma
Upper Gastrointestinal Tract