Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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LEIOMYOMA OF THE TRANSVERSE COLON – UNCOMMON SOURCE OF PERITONITIS
Gh. Ghidirim, I. Mişin, Gh. Zastavniţchi
First Department of Surgery „N. Anestiadi”
Laboratory for Hepato-Bilio-Pancreatic Surgery
University of Medicine and Pharmacie „N. Testemitsanu” Chişinău
Emergencies Clinic Hospital, Chişinău, Republic of Moldova
Jurnalul de chirurgie 2009; 5 (1): 68-71
Full text:
Format PDF (Română/Romanian)

Abstract:

Leiomyoma of the transverse colon is uncommon. The majorities of these lesions are clinically insignificant, being diagnosed incidentally. Symptomatic leiomyomas of the colon are less common; sporadic case reports have been described in the relevant literature. We describe an additional case of extraluminal transverse colon leiomyoma with necrosis and perforation. A 22-year old female patient complaining abdominal pain was admitted with the diagnosis of peritonitis. The intraoperative findings were: a transverse colon mass on the mesenteric wall, purulent fluid on the left flank and Douglas pouch. A transverse colon resection with primary anastomosis has been performed. The histological findings were consistent with extraluminal leiomyoma with necrosis. The postoperative period was uneventful and the patient discharged on the 9th postoperative day. During a 9 month follow-up the patient is free of disease recurrence. Although benign, colon leiomyoma may cause life-threatening complications, requiring emergency surgery.

KEY WORDS: LEIOMYOMA, COLON, PERITONITIS

Correspondence to: Igor Mishin, MD, PhD, Assoc. Professor of Surgery, Munceşti Street, No. 52, ap. 60, 2001; Chişinău, Republic of  Moldova; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.