[Upper digestive hemorrhage caused by ulcerated periampullary leiomyoma].
Duodenal leiomyoma represents a very unusual cause for acute gastrointestinal bleeding. The authors report the case of a 49-year-old male with a massive bleeding from an ulcerated duodenal leiomyoma involving the ampulla of Vater. An emergency Whipple's pancreaticoduodenectomy was carried out under suspicion of local malignancy. It is emphasized that the proper diagnosis of smooth muscle tumors is often difficult, both clinically and from the pathological point of view.
Octavio de Toledo
J M
JM
Servicio de Cirugía General, Hospital del INSALUD, Nuestra Señora del Cristal, Orense.
Gómez Lorenzo
F
F
Santiago
M P
MP
Figueruela
B
B
Sierra
J A
JA
Domínguez
J
J
D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000473:pathology; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged
Hemorragia digestiva alta por un leiomioma periampular ulcerado.