A CASE OF LEIOMYOMA OF THE DUODENUM WITH MULTIPLE LEIOMYOMAS OF THE JEJUNUM

Abstract

A 53-year-old female was admitted to our hospital, complaining of melena (tarry stool). Upper GI series demonstrated an elevated lesion at the 2nd portion of the duodenum. Endoscopic examination revealed a submucosal tumor. Histology of biopsy specimen obtained from the central ulceration showed leiomyoma. Surgical excision was performed. Two tumors (3×3mm, 10×10mm) were seen at the jejunum except the tumor of the duodenum (32×20mm). Histopathologically, the tumors were benign leiomyomas. To our knowledge, only 11 cases of multiple leiomyomas of the small intestine have been reported in Japan, and a review of literature was made. This case, leiomyaoma of the duodenum is considered to be the first case which is associated with multiple leiomyomas of small intestine in Japan.