Intraluminal obstruction of distal ileum caused by a uterine leiomyoma.

L. B. Jacobs, Belur Bhagavan

Research output: Contribution to journalArticle

Abstract

A 64-yr-old woman with nausea, vomiting, abdominal pain, and fecal impaction was found at autopsy to have an ileal obstruction by an intraluminal, calcified, spiculated mass. Examination revealed that this calcified mass had the features of a uterine leiomyoma. We postulate that a calcified, pedunculated uterine leiomyoma formed adhesions with the distal ileum, eroded through the ileal wall, and came to rest in the bowel lumen. Here, it was partially digested by the flow of intestinal contents, freed from its pedicle, and ultimately created an ileal obstruction. This rare complication of uterine leiomyomas has not been previously documented.

Original languageEnglish (US)
Pages (from-to)229-231
Number of pages3
JournalModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
Volume6
Issue number2
StatePublished - Mar 1993

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Leiomyoma
Ileum
Fecal Impaction
Gastrointestinal Contents
Nausea
Abdominal Pain
Vomiting
Autopsy

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

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abstract = "A 64-yr-old woman with nausea, vomiting, abdominal pain, and fecal impaction was found at autopsy to have an ileal obstruction by an intraluminal, calcified, spiculated mass. Examination revealed that this calcified mass had the features of a uterine leiomyoma. We postulate that a calcified, pedunculated uterine leiomyoma formed adhesions with the distal ileum, eroded through the ileal wall, and came to rest in the bowel lumen. Here, it was partially digested by the flow of intestinal contents, freed from its pedicle, and ultimately created an ileal obstruction. This rare complication of uterine leiomyomas has not been previously documented.",
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