Urgesi Riccardo, Pastorelli Alfredo, Zampaletta Costantino, Masini Andrea, Pelecca Giorgio, Faggiani Roberto, Anti Marcello
Endoscopic Unit, Catholic University, Rome, Italy.
BMJ Case Rep. 2011 Feb 2;2011:bcr1120092455. doi: 10.1136/bcr.11.2009.2455.
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.
虽然胃或小肠平滑肌瘤相对常见，但结肠或直肠的平滑肌瘤却很罕见。已有数例关于大肠平滑肌瘤内镜切除的病例报道。然而，传统的平滑肌瘤息肉切除术可能导致穿孔。为降低穿孔风险，可在切除前进行黏膜下注射。我们报告一例患有乙状结肠平滑肌瘤的患者出现慢性缺铁性贫血，在对该病变进行完全内镜下摘除后，贫血得到了稳定缓解。
