Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults
Introduction: Cecal leiomyoma is a very rare benign tumor of the colon, constituted by a proliferative process of smooth muscle that originates from the muscularis propria or the muscularis of the cecum mucosa. These are often asymptomatic tumors that are found incidentally during screening studies...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/30740 |
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I10-R327-article-30740 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
leiomyoma intestinal obstruction cecal neoplasms leiomioma obstrucción intestinal neoplasias del ciego leiomioma obstrução intestinal neoplasias do ceco |
| spellingShingle |
leiomyoma intestinal obstruction cecal neoplasms leiomioma obstrucción intestinal neoplasias del ciego leiomioma obstrução intestinal neoplasias do ceco Muratore, Lucas Gramática, Luis Moretti, Gastón Benjamín Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| topic_facet |
leiomyoma intestinal obstruction cecal neoplasms leiomioma obstrucción intestinal neoplasias del ciego leiomioma obstrução intestinal neoplasias do ceco |
| author |
Muratore, Lucas Gramática, Luis Moretti, Gastón Benjamín |
| author_facet |
Muratore, Lucas Gramática, Luis Moretti, Gastón Benjamín |
| author_sort |
Muratore, Lucas |
| title |
Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| title_short |
Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| title_full |
Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| title_fullStr |
Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| title_full_unstemmed |
Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults |
| title_sort |
ceccum leiomyoma: an unusual cause of intestinal occlusion in adults |
| description |
Introduction: Cecal leiomyoma is a very rare benign tumor of the colon, constituted by a proliferative process of smooth muscle that originates from the muscularis propria or the muscularis of the cecum mucosa. These are often asymptomatic tumors that are found incidentally during screening studies or in the context of some other pathology. In cases with clinical expression, it commonly presents as chronic abdominal pain or a palpable abdominal mass. Infrequently it manifests as complications such as intestinal perforation, intestinal bleeding, or intestinal obstruction that require surgical treatment.
Method: We present the case of a 25-year-old woman who came to the Central Guard service of the institution for abdominal colic pain of 48 hours of evolution associated with vomiting and abdominal distention. The videolaparoscopic surgical approach was decided in which an abdominal mass was identified at the level of the ileoceccal valve. Conventional right hemicolectomy with proximal loop ileostomy was performed with good postoperative evolution. Histopathological examination of the resected specimen revealed a benign ceccum leiomyoma.
Results: The patient resolved her acute abdominal symptoms without complications and was discharged on the 5° postoperative day.
Conclusion: The scarcity of studies and bibliography related to this infrequent pathology denotes the need to elaborate new studies of greater scope that offer answers to the questions and controversial aspects that still persist in relation to the clinical, diagnostic and therapeutic management of benign cecal tumors of mesenchymal lineage. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/30740 |
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AT muratorelucas ceccumleiomyomaanunusualcauseofintestinalocclusioninadults AT gramaticaluis ceccumleiomyomaanunusualcauseofintestinalocclusioninadults AT morettigastonbenjamin ceccumleiomyomaanunusualcauseofintestinalocclusioninadults AT muratorelucas leiomiomadeciegounacausainusualdeoclusionintestinalenadultos AT gramaticaluis leiomiomadeciegounacausainusualdeoclusionintestinalenadultos AT morettigastonbenjamin leiomiomadeciegounacausainusualdeoclusionintestinalenadultos AT muratorelucas ceccumleiomiomaumacausaincomumdeoclusaointestinalemadultos AT gramaticaluis ceccumleiomiomaumacausaincomumdeoclusaointestinalemadultos AT morettigastonbenjamin ceccumleiomiomaumacausaincomumdeoclusaointestinalemadultos |
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2024-09-03T21:02:09Z |
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I10-R327-article-307402023-03-20T16:24:58Z Ceccum leiomyoma: An unusual cause of intestinal occlusion in adults Leiomioma de ciego: una causa inusual de oclusión intestinal en adultos Ceccum leiomioma: uma causa incomum de oclusão intestinal em adultos Muratore, Lucas Gramática, Luis Moretti, Gastón Benjamín leiomyoma intestinal obstruction cecal neoplasms leiomioma obstrucción intestinal neoplasias del ciego leiomioma obstrução intestinal neoplasias do ceco Introduction: Cecal leiomyoma is a very rare benign tumor of the colon, constituted by a proliferative process of smooth muscle that originates from the muscularis propria or the muscularis of the cecum mucosa. These are often asymptomatic tumors that are found incidentally during screening studies or in the context of some other pathology. In cases with clinical expression, it commonly presents as chronic abdominal pain or a palpable abdominal mass. Infrequently it manifests as complications such as intestinal perforation, intestinal bleeding, or intestinal obstruction that require surgical treatment. Method: We present the case of a 25-year-old woman who came to the Central Guard service of the institution for abdominal colic pain of 48 hours of evolution associated with vomiting and abdominal distention. The videolaparoscopic surgical approach was decided in which an abdominal mass was identified at the level of the ileoceccal valve. Conventional right hemicolectomy with proximal loop ileostomy was performed with good postoperative evolution. Histopathological examination of the resected specimen revealed a benign ceccum leiomyoma. Results: The patient resolved her acute abdominal symptoms without complications and was discharged on the 5° postoperative day. Conclusion: The scarcity of studies and bibliography related to this infrequent pathology denotes the need to elaborate new studies of greater scope that offer answers to the questions and controversial aspects that still persist in relation to the clinical, diagnostic and therapeutic management of benign cecal tumors of mesenchymal lineage. Introducción: El leiomioma cecal es un tumor benigno del colon, muy raro, constituido por un proceso proliferativo de músculo liso que se origina a partir de la muscularis propia o la muscularis de la mucosa del ciego. Con frecuencia se trata de tumores asintomáticos que se encuentran de forma incidental durante los estudios de detección o en el contexto de alguna otra patología. En los casos con expresión clínica, comúnmente se presentan con dolor abdominal crónico o masa abdominal palpable. Infrecuentemente debutan con complicaciones como perforación intestinal, sangrado intestinal u obstrucción intestinal que requieren tratamiento quirúrgico. Método: Presentamos el caso de una mujer de 25 años que acude al servicio de Guardia Central de la institución por dolor cólico abdominal de 48 horas de evolución asociado con vómitos y distensión abdominal Se decidió el abordaje quirúrgico videolaparoscópico en el que se identifico una masa abdominal a nivel de la válvula ileoceccal. Se realizó hemicolectomía derecha convencional con Ileostomía en asa proximal con buena evolución post operatoria. El examen histopatológico de la pieza resecada reveló un leiomioma benigno de ciego. Resultados: La paciente resolvió su cuadro abdominal agudo sin complicaciones y fue dada de alta al 5° día post-operatorio. Conclusión: La escasez de estudios y bibliografía relacionados con esta infrecuente patología denota la necesidad de elaborar nuevos estudios de mayor alcance que ofrezcan respuestas a los interrogantes y aspectos controvertidos que aún persisten en relación al manejo clínico, diagnóstico y terapéutico de los tumores cecales benignos de estirpe mesenquimal. Introdução: O leiomioma cecal é um tumor benigno do cólon muito raro, constituído por um processo proliferativo de músculo liso que se origina da muscular própria ou da muscular da mucosa do ceco. Freqüentemente, são tumores assintomáticos encontrados incidentalmente durante estudos de triagem ou no contexto de alguma outra patologia. Em casos com expressão clínica, comumente se apresenta como dor abdominal crônica ou massa abdominal palpável. Raramente se manifesta como complicações como perfuração intestinal, sangramento intestinal ou obstrução intestinal que requerem tratamento cirúrgico. Método: Apresentamos o caso de uma paciente de 25 anos que procurou a Guarda Central da instituição por cólica abdominal de 48 horas de evolução associada a vômitos e distensão abdominal, optou-se pela via cirúrgica videolaparoscópica em que foi identificada uma massa abdominal. ao nível da válvula ileocéccal. A hemolectomia direita convencional foi realizada com ileostomia em alça proximal com boa evolução pós-operatória. O exame histopatológico da peça ressecada revelou um leiomioma cego benigno. Resultados: A paciente resolveu os sintomas abdominais agudos sem complicações e recebeu alta no 5º dia de pós-operatório. Conclusão: A escassez de estudos e bibliografia relacionados a esta rara patologia denota a necessidade de elaboração de novos estudos de maior abrangência que ofereçam respostas às questões e aspectos controversos que ainda persistem em relação ao manejo clínico, diagnóstico e terapêutico dos tumores cecais benignos do linhagem mesenquimal. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/30740 10.31053/1853.0605.v79.n4.30740 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 4 (2022); 383-386 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 4 (2022); 383-386 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 4 (2022); 383-386 1853-0605 0014-6722 10.31053/1853.0605.v79.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/30740/39766 https://revistas.unc.edu.ar/index.php/med/article/view/30740/39903 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |