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HOME > Clin Endosc > Volume 37(3); 2008 > Article
Endoscopic Resection of a Pedunculated Colonic Leiomyoma Resembling a Hyperplastic Polyp
Clinical Endoscopy 2008;37(3):218-221.
DOI: https://doi.org/
Published online: September 30, 2008
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Colonic leiomyoma is a rare condition that accounts for 3% of all gastrointestinal leiomyomas. Many colonic leiomyomas are found incidentally and are sometimes confused with epithelial neoplasms. Most leiomyomas are removed surgically. However, a small peduculated leiomyoma can be removed endoscopically as it has the appearance of an adenomatous polyp. A 54 year-old man underwent a colonoscopic examination due to frequent loose stools. Colonoscopy demonstrated the presence of a small reddish polyp with a short stalk in the sigmoid colon. We performed a successful polypectomy by the use of colonoscopic snare electrocauterization. A pathological examination revealed the presence of a leiomyoma originating in the muscularis mucosa. We report a case of a small peduculated leiomyoma that was removed endoscopically, with a review of the literature. (Korean J Gastrointest Endosc 2008;37:218-221)


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