Ferjaoui Wael, Haloui Nabil, Omry Ahmed, Dallagi Rania, Kamtaoui Amal, Khalifa Med Bachir
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
Int J Surg Case Rep. 2024 Apr;117:109535. doi: 10.1016/j.ijscr.2024.109535. Epub 2024 Mar 18.
Leiomyomas, commonly known as fibroids, are benign soft tissue tumors mostly found in the uterus. Although predominantly uterine, they can occur rarely in other areas, notably in the gastrointestinal tract. This article emphasizes an unusual case: an ileal leiomyoma in a 54-year-old patient, showcasing the distinct diagnostic and management challenges it presents.
A 54-year-old female with no prior medical history presented with a progressively enlarging, painful abdominal mass over six months. Imaging suggested a Gastrointestinal Stromal Tumor (GIST), but guided biopsy yielded an unexpected diagnosis of ileal leiomyoma. Subsequent surgical intervention successfully removed the tumor, leading to an uneventful postoperative recovery.
This case underscores the diagnostic intricacies and clinical manifestations of ileal leiomyomas. While diagnosis can be challenging, timely histopathological evaluation is crucial. Surgical resection guided by pathological findings played a pivotal role in this patient's care, emphasizing the need for a comprehensive approach to diagnosis and treatment in unique medical cases.
The rarity of ileal leiomyomas presents a substantial challenge in the medical field, where expertise can be limited. This case emphasizes the pivotal role of histopathological analysis in confirming the diagnosis and guiding effective surgical management.
平滑肌瘤，通常称为纤维瘤，是一种主要发生在子宫的良性软组织肿瘤。尽管主要位于子宫，但它们也可能很少出现在其他部位，尤其是胃肠道。本文重点介绍了一个不寻常的病例：一名54岁患者的回肠平滑肌瘤，展示了其独特的诊断和管理挑战。
一名无既往病史的54岁女性，在六个月内出现腹部肿块逐渐增大且疼痛。影像学检查提示为胃肠道间质瘤（GIST），但引导下活检得出意外诊断为回肠平滑肌瘤。随后的手术干预成功切除了肿瘤，术后恢复顺利。
该病例强调了回肠平滑肌瘤的诊断复杂性和临床表现。虽然诊断可能具有挑战性，但及时的组织病理学评估至关重要。在该患者的治疗中，根据病理结果进行手术切除起到了关键作用，强调了在特殊病例中采取综合诊断和治疗方法的必要性。
回肠平滑肌瘤的罕见性在医学领域带来了重大挑战，因为相关专业知识可能有限。本病例强调了组织病理学分析在确诊和指导有效手术管理方面的关键作用。
