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Case Reports
. 2024 May 7;16(5):e59810.
doi: 10.7759/cureus.59810. eCollection 2024 May.

Open Gastrostomy of a Gastric Leiomyoma Proximal to the Gastroesophageal Junction: A Case Report

Khristianna M Jones  1   2 , Jenny B Cherenfant  1   2 , Gavin H Ward  1   2 , Andre Nozari  1   2 , Roynny S Sanchez  3   2 , Alain Soto  3   2 , Joshua A Simon  2 , Mohammed M Masri  3
Affiliations
Case Reports

Open Gastrostomy of a Gastric Leiomyoma Proximal to the Gastroesophageal Junction: A Case Report

Khristianna M Jones et al. Cureus. .

Abstract

Gastric leiomyomas are benign, submucosal tumors found incidentally on unrelated imaging or during autopsy. The majority of leiomyomas are asymptomatic; however, patients can develop central ulcerations on the lesions leading to upper gastrointestinal (GI) bleeding. A 75-year-old female, with a past medical history of hypertension, hyperlipidemia, and a cerebrovascular accident, presented with complaints of melena, near-syncope events, lightheadedness, weakness, and hematemesis. A computed tomography (CT) of the abdomen with contrast found a heterogeneous low-attenuation mass of 4×4×3 cm3 within the gastric fundus and near the gastroesophageal (GE) junction. After an open gastrostomy and excisional biopsy, the mass was identified as a leiomyoma. This case report reviews the presentation, diagnostic assessments, and treatment of a gastric leiomyoma in a complex location proximal to the gastroesophageal junction. Gastric leiomyomas should be considered as a differential diagnosis for patients presenting with an upper gastrointestinal bleed.

Keywords: gastrointestinal bleed; laparoscopy; open surgery; smooth muscle tumors; spindle cell tumor; surgical intervention.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography with contrast in coronal plane. Gastric leiomyoma is indicated by the arrow.
Figure 2
Figure 2. Computed tomography with contrast in axial plane. Gastric leiomyoma is indicated by the arrow.
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