Masif ve rekürren gastrointestinal kanamanin nadir sebebi:
Ince barsak leiomyomu
A rare cause of the massive and recurrent gastrointestinal bleeding: Leiomyoma of the small bowel
- Ana Sayfa
- Sayılar
- Masif ve rekürren gastrointestinal kanamanin nadir sebebi:
Ince barsak leiomyomu...
Özet
Leiomyomalar en sik görülen ince barsak tümörleridir. Ince barsagin herhangi bir segmentinde görülebilir ancak siklikla jejunum veya ileuma lokalizedir. Genellikle 50-60 yas arasi görülür ve gizli kanama ile kendini belli eder. Kanama bilinen en sik özellik olup tümörün büyümesi sonrasi olusur. Tümörü çevreleyen mukozadaki ülserasyonlar bazen asiri miktarda ve tekrarlayan kanama yapabilir. Bu olgu sunumunda son 2 yildi r mevcut asiri miktarda ve tekrarlayan alt gastrointestinal sistem kanamasi ile basvuran ve takip ve tetkikleri sonrasi intraabdominal tümör ön tanisi ile laparotomi yapilan ve ileal leiomyom saptanan 61 yasindaki kadin hastayi sunuyoruz.
Abstract
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.
