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KMID : 0356720110270040215
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Journal of the Korean Society of Coloproctology
2011 Volume.27 No. 4 p.215 ~ p.219
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A Case of Endoscopic Resection of a Colonic Semipedunculated Leiomyoma
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Lee Seung-Hwa
Cheong Yoo-Seock
Huh Gun-Yoong
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Abstract
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During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.
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KEYWORD
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Leiomyoma, Colonoscopy, Endoscopic resection, Subepithelial lesion
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