Download PDF
Z Gastroenterol 2008; 46(5): 421-424
DOI: 10.1055/s-2007-963523
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Unusual Giant Abdominal Leiomyoma in a Young Man: a Case Report

Ungewöhnlich riesiges abdominales Leiomyom bei einem jungen Mann: ein FallberichtC.-Y Fu1 , W.-K Chang3 , T.-C Yu2 , M.-F Cheng4 , T.-W Chen2
  • 1Department of Surgery, Songshan Armed Forces General Hospital, Taipei, Republic of China
  • 2Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Republic of China
  • 3Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Republic of China
  • 4Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Republic of China
Further Information

Publication History

manuscript received: 8.3.2007

manuscript accepted: 13.8.2007

Publication Date:
07 May 2008 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Abdominale Leiomyome sind außerordentlich seltene intraabdominale Tumore. Wir stellen den Fall eines 24-jährigen Patienten mit abdominalem Leiomyom vor, bei dem fünf Tage vor der Einweisung plötzlich ein riesiger Tumor im mittleren Oberbauch festgestellt wurde. Die Laparotomie ergab ein abdominales Leiomyom mit zentraler Hämorrhagie. Die Geschwulst wurde vollständig reseziert. Unseres Wissens ist bisher über keinen derartigen Fall berichtet worden.

Abstract

Abdominal leiomyomas are extremely rare intra-abdominal tumors. We present a the case of a 24-year-old male with an abdominal leiomyoma who presented with a chief complaint of a huge mass in the midepigastrium that was suddenly detected 5 days prior to admission. An abdominal leiomyoma with central hemorrhage was found on exploratory laparotomy; the tumor was completely resected. To the best of our knowledge, no similar case has been reported in the literature.

Schlüsselwörter

Leiomyom - intraabdominale Geschwulst - Retroperitonealraum - Östrogenrezeptor - Progesteronrezeptor

Key words

leiomyoma - intra-abdominal tumor - retroperitoneum - estrogen receptor - progesterone receptor

References

  • 1 Myhre-Jensen O. A consecutive 7-year series of 1331 benign soft tissue tumors: clinicopathologic data: comparison with sarcomas.  Acta Orthop Scand. 1981;  52 287-293
    Google Scholar
  • 2 Enzinger F M, Weiss S W. Benign tumors of smooth muscle. Soft Tissue Tumors St Louis; C. V. Mosby 2001 4th edition: 695-723
    Google Scholar
  • 3 Billings S D, Folpe A L, Weiss S W. Do leiomyomas of deep soft tissue exist? An analysis of highly differentiated smooth muscle tumors of deep soft tissue supporting two distinct subtypes.  Am J Surg Pathol. 2001;  25 1134-1142
    Google Scholar
  • 4 Weiss S W. Smooth muscle tumors of soft tissue.  Adv Anat Pathol. 2002;  9 351-359
    Google Scholar
  • 5 Fletcher C DM, Kilpatrick S E, Mentzel T. The difficulty of predicting behavior of smooth-muscle tumors in deep soft tissue (letter).  Am J Surg Pathol. 1995;  19 116-117
    Google Scholar
  • 6 Paal E, Miettinen M. Retroperitoneal leiomyomas: a clinicopathologic and immunohistochemical study of 56 cases with a comparison to retroperitoneal leiomyosarcomas.  Am J Surg Pathol. 2001;  25 1355-1363
    Google Scholar
  • 7 Miettinen M, Lasotal J. Gastrointestinal stromal tumors: definition, clinical, histologic, immunohistochemical, and molecular genetic features and differential diagnosis.  Virchows Arch. 2001;  438 1-12
    Google Scholar

Teng-Wei Chen

Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center

No. 325, Cheng-Kung Road, Sec. 2, Neihu 114

325 Taipei

Taiwan

Phone: ++ 8 86/2/87 92 71 91

Fax: ++ 8 86/2/87 92 72 73

Email: fuchunyu12@yahoo.com.tw

      >