Obscure-occult bleeding: resolution of unexplained chronic sideropenic anaemia by colonoscopic removal of a colonic leiomyoma.
Although leiomyomas of the stomach or small intestine are relatively common, those of the colon or rectum are rare. Several cases of endoscopic resection of colorectal leiomyomas have been described. However, conventional polypectomy of leiomyomas can result in perforation. To reduce the risk of perforation, submucosal injection can be performed before removal. We report a case of chronic sideropenic anaemia in a patient affected by leiomyoma of the sigmoid colon in which after complete endoscopic enucleation of the lesion we obtained the stable resolution of anaemia.
Endoscopic Unit, Catholic University, Rome, Italy. riurgesi@tin.it
Riccardo
R
Urgesi
Alfredo
A
Pastorelli
Costantino
C
Zampaletta
Andrea
A
Masini
Giorgio
G
Pelecca
Roberto
R
Faggiani
Marcello
M
Anti
D018798:Anemia, Iron-Deficiency / Q000209:etiology* / Q000601:surgery*; D002908:Chronic Disease; D003110:Colonic Neoplasms / Q000150:complications* / Q000601:surgery*; D003113:Colonoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000601:surgery*; D008875:Middle Aged; D012074:Remission Induction