Hemoperitoneum secondary to exophytic leiomyoma: report of a case.

Abstract

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.

• Authors: M Matsuda, Y Watanabe, N Tonosu, Y Nabeya, H Arima, H Matsuzaki, G Ohira, H Sato, T Mizushima, T Uehara
• Journal: Surgery today (Surg Today) Vol. 30 Issue 5 Pg. 448-50 ( 2000) ISSN: 0941-1291 [Print] Japan
• PMID: 10819484 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Biopsy, Needle
• Follow-Up Studies
• Hemoperitoneum (diagnosis, etiology, therapy)
• Humans
• Laparotomy
• Leiomyoma (complications, diagnosis, surgery)
• Male
• Middle Aged
• Stomach Neoplasms (complications, diagnosis, surgery)
• Tomography, X-Ray Computed
• Treatment Outcome