Hemoperitoneum secondary to exophytic leiomyoma: report of a case

We report herein the case of a 63-year-old male with hemoperitoneum secondary to exogastric leiomyoma. The patient had been receiving anticoagulation therapy for a cerebral embolism and complained of sudden, severe abdominal pain. A sonogram and computed tomography scan showed an exogastric mass and...

Full description

Saved in:
Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2000-05, Vol.30 (5), p.448-450
Main Authors: Matsuda, M, Watanabe, Y, Tonosu, N, Nabeya, Y, Arima, H, Matsuzaki, H, Ohira, G, Sato, H, Mizushima, T, Uehara, T
Format: Article
Language:English
Subjects:
Biopsy, Needle
Follow-Up Studies
Hemoperitoneum - diagnosis
Hemoperitoneum - etiology
Hemoperitoneum - therapy
Humans
Laparotomy
Leiomyoma - complications
Leiomyoma - diagnosis
Leiomyoma - surgery
Male
Middle Aged
Stomach Neoplasms - complications
Stomach Neoplasms - diagnosis
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report herein the case of a 63-year-old male with hemoperitoneum secondary to exogastric leiomyoma. The patient had been receiving anticoagulation therapy for a cerebral embolism and complained of sudden, severe abdominal pain. A sonogram and computed tomography scan showed an exogastric mass and massive ascites. A peritoneal puncture proved the presence of an intraperitoneal hemorrhage. An emergency laparotomy revealed a pedunculated bleeding tumor, thus confirming the preoperative diagnosis of a ruptured exogastric tumor. A microscopic analysis of the excised tumor demonstrated gastric leiomyoma. Other authors have reported hemoperitoneum secondary to gastric myogenic tumors, but no cases of leiomyomas could be found in the literature.
ISSN:0941-1291
1436-2813
DOI:10.1007/s005950050622