This 55 y/o female presented with recurrent upper gastrointestinal bleeding. Her initial endoscopic evaluation was unremarkable. Recurrent bleeding led to a GI bleeding scan which pointed to a possible source in the upper abdomen. Selected images from a barium UGI are shown above. There is a polypoid mass at the ligament of Treitz. Repeat endoscopy visualized the mass (pictures above) but adequate biopsies could not be obtained. Surgical resection and pathologic evaluation demonstrated a leiomyoma.
  1. Blanchard DK, Budde JM, Hatch GF 3rd, Wertheimer-Hatch L, Hatch KF, Davis GB, Foster RS Jr, Skandalakis JE. Tumors of the small intestine. World J Surg 2000 Apr;24(4):421-9 UI:20173792
  2. Egawa T, Hasuike Y, Takata N, Okamoto S, Okamura J, Igarashi T. Leiomyoma of the duodenum--a case report. Hepatogastroenterology 1991 Dec;38 Suppl 1:76-8 UI:92363372
  3. Gourtsoyiannis NC, Bays D, Malamas M, Barouxis G, Liasis N. Radiological appearances of small intestinal leiomyomas. Clin Radiol 1992 Feb;45(2):94-103 UI:92145924
  4. Christou NV, Stein LA, Meakins JL. Recurrent gastrointestinal bleeding due to smooth muscle tumours of the small intestine. Can J Surg 1979 Jan;22(1):95-8 UI:79189126
  5. Ashley SW, Wells SA Jr. Tumors of the small intestine. Semin Oncol 1988 Apr;15(2):116-28 UI:88218732
  6. Kaminski N, Shaham D, Eliakim R. Primary tumours of the duodenum. Postgrad Med J 1993 Feb;69(808):136-8 UI:93281475
  7. Serraf A, Klein E, Schneebaum S, Davidson B, Herzig E, Ben-Ari G. Leiomyomas of the duodenum. J Surg Oncol 1988 Nov;39(3):183-6 UI:89038562
  8. Delikaris PG, Poulsen J, Balslev I. Leiomyoma of the fourth part of the duodenum. J Okla State Med Assoc 1987 Sep;80(9):662-4 UI:88035334
  9. Giuliani A, Caporale A, Teneriello F, Alessi G, Serpieri S, Sammartino P. Primary tumors of the small intestine. Int Surg 1985 Oct-Dec;70(4):331-4 UI:86195071
  10. Samsi AB, Pandya AP, Kamdar MS, Kulkarni VR, Kooka DM, Sant SM. Leiomyoma of the duodenum (a case report). J Postgrad Med 1979 Apr;25(2):106-8 UI:80051793
  11. Anderson JR, Ford MJ. Leiomyoma of the duodenum--an unusual presentation of a rare tumour. Postgrad Med J 1979 Mar;55(641):218-20 UI:79223625
  12. Falsafi A. Leiomyoma of duodenum: report of a case. Int Surg 1979 Jan-Feb;64(1):39-41 UI:80136570
  13. Munson FA. Leiomyoma of the duodenum as an unsuspected source of bleeding. Calif Med 1966 May;104(5):401-3 UI:66160239
  14. Bach DB. Single-contrast examination of the duodenum following enteroclysis. Can Assoc Radiol J 1987 Sep;38(3):224-6 UI:88007795
  15. Gupta S, Gupta S. Primary tumors of the small bowel: a clinicopathological study of 58 cases. J Surg Oncol 1982 Jul;20(3):161-7 UI:82218294

Use the Back or Backward button on your browser to return