Ileal hemorrhage caused by a parasitic uterine leiomyoma. Obstet Gynecol 1990 Sep;76(3 Pt 2):531-4
Date
09/01/1990Pubmed ID
2381642Scopus ID
2-s2.0-0025006594 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
Parasitic uterine leiomyomas occur rarely and may present with a wide variety of symptoms. This report describes a uterine leiomyoma that became adherent to the distal ileum and caused massive lower gastrointestinal hemorrhage. The diagnosis was made preoperatively with a selective superior mesenteric arteriogram. The patient underwent an exploratory laparotomy, hysterectomy, and bowel resection, with subsequent resolution of symptoms. Pathologic evaluation revealed fibrous adhesions of the leiomyoma to the ileum, with bleeding from a dilated blood vessel in the submucosa of the bowel.
Author List
Rader JS, Binette SP, Brandt TD, Sreekanth S, Chhablani AAuthor
Janet Sue Rader MD Chair, Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAnastomosis, Surgical
Female
Gastrointestinal Hemorrhage
Humans
Ileal Diseases
Leiomyoma
Uterine Neoplasms