FİKRET AKSOY, Niyazi ÜLGEN, GÖKHAN DEMİRAL

Masif ve rekürren gastrointestinal kanamanın nadir sebebi: İnce barsak leiomyomu

Leiomyomalar en sık görülen ince barsak tümörleridir. İnce barsağın herhangi bir segmentinde görülebilir ancak sıklıkla jejunum veya ileuma lokalizedir. Genellikle 50-60 yaş arası görülür ve gizli kanama ile kendini belli eder. Kanama bilinen en sık özellik olup tümörün büyümesi sonrası oluşur. Tümörü çevreleyen mukozadaki ülserasyonlar bazen aşırı miktarda ve tekrarlayan kanama yapabilir. Bu olgu sunumunda son 2 yıldı r mevcut aşırı miktarda ve tekrarlayan alt gastrointestinal sistem kanaması ile başvuran ve takip ve tetkikleri sonrası intraabdominal tümör ön tanısı ile laparotomi yapılan ve ileal leiomyom saptanan 61 yaşındaki kadın hastayı sunuyoruz.

Anahtar Kelimeler:

Leiomyom, gastrointestinal kanama, ince barsak

A rare cause of the massive and recurrent gastrointestinal bleeding: Leiomyoma of the small bowel

Leiomyomas are the most common symptomatic small bowel tumors. They may involve any segment of the small intestine but are most often located in the jejunum or ileum. They typically present in the fifth and sixth decades, generally with occult gastrointestinal bleeding. Bleeding is the most common presenting feature and is caused by the growing tumor. Ulceration of mucosa overlying the tumor can cause massive and recurrent bleeding. We report a case of a 61-year-old female patient who presented with massive and recurrent lower gastrointestinal bleeding for the last two years and who was operated as intraabdominal tumor. After laparotomy, she was diagnosed as ileal leiomyoma.

Keywords:

Leiomyoma, gastrointestinal bleeding, small intestine,

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