Year 2023 / Volume 115 / Number 6
Letter
Gastric leiomyoma as an atypical cause of upper gastrointestinal bleeding

342

DOI: 10.17235/reed.2023.9688/2023

Alejandro García Martínez, Dolores Fernández Olvera, Antonio M. Moreno García,

Abstract
We introduce the case of a 40-year-old male with no medical history of interest who was admitted in the Digestive System unit due to upper gastrointestinal bleeding, and a large protruding lesion located in gastric antrum was detected during oral endoscopy, but biopsies were negative for malignancy. Therefore, endoscopic ultrasound was performed, confirming the submucosal origin of the lesion, puncturing it, and obtaining histological results compatible with leiomyoma. Gastric leiomyomas are rare mesenchymal tumors that are usually asymptomatic and are detected by performing a procedure for another reason. The definitive diagnosis is histological, being sometimes difficult to obtain samples given the submucosal origin of these lesions. The main treatment is surgery, although endoscopic resection is accepted in certain cases.
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References
1. Naz S, Afzal M, Sarwar H, Shakeel O and Rehman S. Gastric leiomyoma and its management: a rare occurrence. Oncol Cancer Case Rep. 2019. 5(2): 154.
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3. Padmanabhan N, Kurian A, Hussain A, Rajarajan V and Pai A. Giant gastroesophageal leiomyoma: challenges in diagnosis and management. J Gastrointest Canc. 2020. 51(3):1039-1043.
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5. Ramai D, Tan QT, Nigar S, Ofori E, Etienne D and Reddy M. Ulcerated gastric leiomyoma causing massive upper gastrointestinal bleeding: a case report. Molecular and clinical oncology. 2018. 8:671-674.
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García Martínez A, Fernández Olvera D, Moreno García A. Gastric leiomyoma as an atypical cause of upper gastrointestinal bleeding. 9688/2023


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Publication history

Received: 23/04/2023

Accepted: 02/05/2023

Online First: 19/05/2023

Published: 06/06/2023

Article Online First time: 26 days

Article editing time: 44 days


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