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Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 146-148

Leiomyoma of ileum causing intestinal obstruction: A rare presentation

Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India

Correspondence Address:
Vitaladevuni Balasubramanyam Shivkumar
Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha - 442 102, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjhs.sjhs_68_21

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Leiomyoma is a benign mesenchymal neoplasms arising from smooth muscles which accounts for 20%–30% of all benign gastrointestinal tumours. The occurrence of leiomyoma in ileum is rare. Very few cases of intestinal obstruction due to intestinal leiomyoma have been documented till date as per our knowledge. Here, we report a case of leiomyoma of ileum causing intestinal obstruction in a young woman who presented with pain in abdomen since 7 days. Intraoperative findings showed presence of 15 cm × 14 cm × 12 cm mesenteric tumour encircling the ileum. Microscopically, the benign spindled tumour cells were arranged in whorled pattern. Immunohistochemistry showed positivity for smooth muscle actin and negativity for CD117. One should always consider this rare entity in differential diagnosis of patients presenting with intestinal obstruction.

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