Leiomyoma of the Jejunum Diagnosed by Emergency Enteroscopy M. Tada 1 , A. Kusaba 2 , H. Seki 2 , Y. Kimura 2 , M. Shimono 3 , K. Kawai 4 1Department of Internal Medicine, Kyoto First Red Cross Hospital 2Kuramaguchi Hospital 3The Third Department of Internal Medicine, Kyoto Prefectural University of Medicine 4Department of Preventive Medicine, Kyoto Prefectural University of Medecine pp.1087-1090
Published Date 1981/10/25
DOI https://doi.org/10.11477/mf.1403108218
  • Abstract
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 Although leiomyoma of the small intestine is not a rare tumor, satisfactory diagnosis cannot be made preoperatively at all times. A 68-year-old man complaining of recurrent massive melena was admitted to our hospital. He had been repeatedly examined radiologically and endoscopically but the hemorrhagic source had not been diagnosed. Enteroscopy with a sonde-type small intestinal fiberscope(SSIF) was performed immediately a sa screening examination for the massive gastrointestinal bleeding and revealed a whitish tumor floating in the blood at the jejunum. By operation, this tumor, sized 28×25×20mm, was histologically diagnosed as leiomyoma arising from the upper jejunum.

 The Sonde-type small intestinal fiberscope can be inserted into the distal part of the small intestine in a short time without hazard. Therefore,SSIF will be useful as a screening filter of the small intestinal diseases and valuable for the emergency examination of massive intestinal hemorrhage.

Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.


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