Indian Journal of Surgery Medknow Publications on behalf of Association of Surgeons of India ISSN: 0972-2068 Vol. 66, Num. 3, 2004, pp. 181-181

Indian Journal of Surgery, Vol. 66, No. 3, June, 2004, pp. 181

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Gastric leiomyoma presenting as massive haematemesis

Akolekar Deepika , Jaiswal Amit , Dharap Satish B

Department of General Surgery, L. T. M. M. College and L. T. M. G. Hospital, Sion, Mumbai-400022
Correspondence Address:2nd floor, Mangal Chhaya, Plot No. 113, Sion (W), Mumbai-400022
deepika_parekh@yahoo.co.in

Code Number: is04047

A 75 year old chronic alcoholic male patient presented with massive haematemesis and malena. Upper GI endoscopy showed a sessile, vascular mass in the fundus of stomach with central umblication. CT scan abdomen however revealed a pedunculated tumour arising from fundus of stomach with high degree of vascularity suggestive of a stromal tumour. He underwent a laparotomy and wide excision of the 4 x 4 cm vascular, sessile mass (located on the anterior wall of the stomach at the junction of fundus and body) with one cm margin followed by primary closure of stomach in two layers.

[Figure - 1] Histopathology revealed interlacing bundles of smooth muscle fibres in a characteristic whorl pattern with no mitotic activity suggestive of leiomyoma of stomach with no evidence of malignancy.

Treatment modalities for such tumours include endoscopic polypectomy[1] which is possible in case of pedunculated tumours, wide local excision with primary repair and laparoscopic resection using Endo GIA staplers.[2] [Figure - 2]

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