J Korean Soc Coloproctol.
2011 Aug;27(4):215-219.
A Case of Endoscopic Resection of a Colonic Semipedunculated Leiomyoma
- Affiliations
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- 1Health Promotion Center, Dankook University College of Medicine, Cheonan, Korea. drloved@hanmail.net
- 2Department of Surgery, Osan Hankook Hospital, Osan, Korea.
Abstract
- During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.
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