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A Case of Endoscopic Resection of a Colonic Semipedunculated Leiomyoma

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À̽ÂÈ­, Á¤À¯¼®, Huh Gun-Yoong,
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À̽ÂÈ­ ( Lee Seung-Hwa ) 
Dankook University College of Medicine Health Promotion Center

Á¤À¯¼® ( Cheong Yoo-Seock ) 
Dankook University College of Medicine Health Promotion Center
 ( Huh Gun-Yoong ) 
Osan Hankook Hospital Department of Surgery

Abstract


During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.

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Leiomyoma;Colonoscopy;Endoscopic resection;Subepithelial lesion

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