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A Journal on Surgery

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Chirurgia 2005 October;18(5):381-4

language: English

Hemoperitoneum and acute abdomen caused by rupture of a large exogastric pedunculate leiomyoma into the bursa omentalis. Report of a case

Andromanakos N., Moulakakis K. G., Flessas M., Safioleas M. C.


We report a rare case of hemoperitoneum and acute abdomen caused by a large extraluminal pedunculate leiomyoma of the stomach ruptured into the bursa omentalis. The patient was encountered with an emergency operation. The pedunculate tumor of leiomyoma was removed by wide wedge resection of full thickness of gastric wall. The patient, seven years after operation, has remained asymptomatic. Although the large majority of leiomyomas (leiomyoblastomas) are benign, malignancy occurs in up to 12% of cases. Surgical resection, from the enucleation to total gastrectomy, with negative margins remains the best therapy of the gastric smooth muscle tumors. Partial or total gastrectomy should be performed for intramural or endogastric tumors. A long period of follow-up in these patients is imperative, to predict a putative malignant evolution.

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