PERFORATION FROM LEIOMYOMA OF THE SMALL BOWEL CAUSING PERITONITIS-A CASE REPORT

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 60; no. 5; pp. 1269 - 1272
• Main Authors: ISHIDA, Shoji, INABA, Akira, KOBA, Yuji, SEKI, Kaoruko, OYAMA, Hisaya, KASAI, Takeshi
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 1999
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.60.1269

Benigh tumor of the small bowel is rare among all tumors of the digestive tract, especially perforation of the tumor. The authors report a case of perforation of a jejunal leiomyoma causing peutoritis. A 73-year-old man was admitted to the hospital because of lower abdominal pain. There was tenderness in the entire abdomen. Abdominal CT scan revealed a hypervascular mass lesion in the upper abdomen. Significant abdominal findings were uncertain initially, however, after 10-hour observation, peritonitis became obvious and CT scan identified ascites in the Douglas cavity. An emergency operation was performed and a 5×5×4cm sized tumor with a fistula was found at the jejunum 10cm from the Treitz's ligament. With a diagnosis of peritonitis due to the perforated small bowel tumor of extramural growth, an excision of the jejunum by 15cm including the tumor was carried out. Histopathological picture of the tumor was compatible with that of leiomyoma. Postoperative course was uneventful and the patient was discharged from the hospital on 35th hospital day.