Abstract

Introduction: Small bowel leiomyomas are the most common symptomatic benign small bowel tumor. The treatment of symptomatic lesions are the resection. The laparoscopic approach it is useful in the treatment of malignant and benign small bowel tumors. It will became the first choice approach in the treatment of intestinal tumors. This case report documents the successful removal of a leiomyoma by laparoscopic approach.

Case Report: A 50 year-old man, who was operated of a Retroperitoneal Myelolipoma, was referred to our clinics with a complaint of abdominal pain. Abdominal TC revealed a solid tumor, measuring 3,7 x 3 cm, probably a GIST, adenopathy of 7 mm, and mesenteric panniculitis. We perform a Laparoscopic approach with four to cars and perform a stapler intracorporeal anastomosis using a bag to exteriorized the tumor. The histopathology report showed a intestinal Leiomyoma with margins free of tumor. The patient was discharged 3 days after surgery.

Conclusions: The laparoscopic approach can be used to resect intestinal tumors and perform intracorporeal anastomosis without complications. The patient could benefits of all advantages of a minimally invasive approach.

Keywords: Bowel Tumor; Laparoscopic Approach; Intestinal Tumors

References

1. De Latour RA., et al. “Management of small bowel polyps: A literatura review”. Best Practice and Research Clinical Gastroenterology 31 (2017): 401-408.
2. Lauren E Smith. “Acute GI bleed due to leiomyoma of the jejunum: a case report”. Journal of Surgical Case Reports 7 (2017): 1-3.
3. Louis F Chai., et al. “Taking the Lead: A Case Report of a Leiomyoma Causing Duodeno-Duodenal Intussusception and Review of Literature”. Case Report in Pancreatic Cancer 2.1 (2016).
4. Hüseyin Cengiz., et al. “A diagnostic dilemma of acute abdomen in pregnancy: Leiomyoma of the small intestine”. Journal of the Turkish-German Gynecological Association 15 (2014): 60-62.
5. Perez EA., et al. “Current Incidence and Outcomes of Gastrointestinal Mesenchymal Tumors Including Gastrointestinal Stromal Tumors”. Journal of the American College of Surgeons 202 (2006): 623–629. 
6. Abbas MA., et al. “Laparoscopic-assisted small bowel resection for a bleeding leiomyoma”. Surgical Endoscopy 12 (1998): 995-996.

Citation

Citation: Alexander Forero-Torres., et al. "Laparoscopic Resection and Intracorporeal Anastomosis of a Small Bowel Tumor. Case Report".Acta Scientific Gastrointestinal Disorders 3.2 (2020): 01-03.

Copyright

Copyright: © 2020 Alexander Forero-Torres., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.