Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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.
See this image and copyright information in PMC

References

    1. Ulcerated gastric leiomyoma causing massive upper gastrointestinal bleeding: a case report. Ramai D, Tan QT, Nigar S, Ofori E, Etienne D, Reddy M. Mol Clin Oncol. 2018;8:671–674. - PMC - PubMed
    1. Florence AM, Fatehi M. Statpearls [Internet. 30855861. Treasure Island, FL: StatPearls Publishing; 2023. Leiomyoma.
    1. Gastric leiomyoma and its management: a rare occurrence. Naz S, Afzal M, Sarwar H, Shakeel O, Rehman S. https://www.iomcworld.org/open-access/gastric-leiomyoma-and-its-manageme... Oncol Cancer Case Rep. 2019;5:1000154.
    1. Gastric true leiomyoma: computed tomographic findings and pathological correlation. Lee MJ, Lim JS, Kwon JE, et al. J Comput Assist Tomogr. 2007;31:204–208. - PubMed
    1. Current guidelines in the management of upper gastrointestinal subepithelial tumors. Cho JW. Clin Endosc. 2016;49:235–240. - PMC - PubMed

Publication types

LinkOut - more resources