Korean Journal of Gastrointestinal Endoscopy 1997;17(1): 59-65.
증례 : 식도 위장관 ; 상부위장관 출혈을 동반한 십이지장 평활근종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Duodenal Leiomyoma Presenting with Upper Gastrointestinal Bleeding )
정인식, 김부성, 박두호, 양영상, 임효영, 이태원, 김성권, 윤영연 (In Sik Chung, Boo Sung Kim, Doo Ho Park, Young Sang Yang, Hyo Young Rhim, Tae Won Lee, Sung Gwon Kim and Young Yeun Yun)
Abstract
Leiomyoma is a neoplasm of smooth muscle relatively common in the stomach, but very rare in the duodenal location. Recurrent bouts of severe melana remain the most frequent presenting symptom for leiomyoma. A 69-year-old man presented to us with a 4-day history of melena. Endoscopy revealed norinal mucosa covered ovoid elevated lesion with central linear depression and ulcer at the second portion of duodenum. Endoscopic biopsy showed chronic inflammation only. Duodenal mass was excised through a duodenotomy. Pathological diagnosis was leiomycena. (Korean J Gastrointest Endosc 17: 59-63, 1997)