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A Journal on Surgery

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Chirurgia 2005 December;18(6):473-8


language: Italian

A rare case of giant stromal tumor of the jejunum

Varriale S., Candela G., Di Libero L., Giordano M., Maschio A., Lanza M., Manetta F., Casaburi V., Sullo P., Grillo M., Sciano D., Saponara R., Santini L.


The intestinal leiomyoma is a benignant stromal tumor, that originates from the sleek muscular cells. The benignant tumors of the small intestine are rare: their total effect varies between 0.1% and 0.2% of all the benignant lesions of the gastrointestinal section and the leiomyoma represents its most common shape. In spite of the fact that the small intestine represents about 75% of the gastrointestinal system and that its mucous surface is 90% of the all gastrointestinal mucose, the tumors of the jejunum-ileum are rare. In that place in fact the original tumors are about 40-60 times less frequent compared with the colon tumor. The leiomyoma of the small intestine is a rare benignant lesion: it has a maximum effect around the 50s but it can affect all the ages mainly male; it has a development extraluminal (65.8% of the cases), intramural (15.8%), extramural (10.5%)and intraluminal (7.9%). Among the benignant shapes of the intestine, the leiomyoma represents the most common type: it comes up mainly it comes up mainly jejunal, it is almost always asintomatic and generally it is an autoptical occasional report; it is often diagnosed during other X-ray tests. The diagnosis of these tumors is quite late because of the difficulty of a thorough examination of this part of the digestive tract. The authors present a case of huge leiomyoma of the small intestine diagnosed following a TC test with contrast, necessary for the study of an abdominal palpable mass that was not mobile on superficial and deep levels in left hypochondrius.

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