Esophagogastric Leiomyoma Therapeutic Approach: A Case Report and Literature Review
DOI:
https://doi.org/10.14738/bjhr.1201.18312Keywords:
Oeso-gastric leiomyoma, benign gastric tumor, laparoscopy, wedge resection.Abstract
Gastric leiomyomas are uncommon benign tumors that occur in only 2.5% of all gastric neoplasms. Although often asymptomatic, larger or strategically located tumors can cause symptoms such as gastrointestinal bleeding or postprandial discomfort. Diagnosis requires a combination of imaging, endoscopic evaluation and histopathology analysis. Treatment is primarily surgical, with laparoscopic approaches being preferred due to their minimally invasive nature and reduced risk of postoperative complications.
References
Ramai D, Tan QT, Nigar S, Ofori E, Etienne D, Reddy M: Ulcerated gastric leiomyoma causing massive upper gastrointestinal bleeding: a case report. Mol Clin Oncol. 2018, 8:671-4. 10.3892/mco.2018.1597
Florence AM, Fatehi M: Leiomyoma. StatPearls Publishing, Treasure Island, FL; 2023. 330 El Hattabi, K., Ettaoussi, A., Benzidane, K., El Bakouri, A., Bouali, M., Khadija, K., & Abdessamad, M. (2025). Esophagogastric Leiomyoma: Therapeutic Approach - A Case Report and Literature Review. British Journal of Healthcare and Medical Research, Vol - 12(01). 327-331.
Matsuda T, Nunobe S, Kosuga T, Kawahira H, Inaki N, et al. (2017) Laparoscopic and luminal endoscopic cooperative surgery can be a standard treatment for submucosal tumors of the stomach: A retrospective multicenter study. Endoscopy, 49: 476-483.
Hilal L, Barada K, Mukherji D, Temraz S, Shamseddine A (2016) Gastrointestinal (GI) leiomyo-sarcoma (LMS) case series and review on diagnosis, management and prognosis. Medical Oncology, 33: 20.
Nonaka S, Oda I, Saito Y (2019) Diagnosis and treatment of superficial gastric neoplasms. In Clinical Gastrointestinal Endoscopy pp: 349-366.
Tarcoveanu E, Bradea C, Dimofte G, Ferariu D, Vasilescu A (2006) Laparoscopic wedge resection of gastric leiomyoma. JSLS, 10: 368-374.
Naz S, Afzal M, Sarwar H, et al. Gastric leiomyoma and its management: a rare occurrence. Oncol Cancer Case Rep 2019;5(2):154.
Val-Bernal JF, Martino M, Terán A, et al. Endoscopic ultrasound-guided fine-needle aspiration cytology in the diagnosis of leiomyomas of the gastrointestinal tract. Rev Esp Patol 2019;52(3):154-62. DOI: 10.1016/j.patol.2018.09.003
Jones et al. Open Gastrostomy of a Gastric Leiomyoma Proximal to the Gastroesophageal Junction: A Case Report. Cureus 16(5): e59810. DOI 10.7759/cureus.59810
Wada K, Tazawa H, Komo T, et al.: Gastric adenocarcinoma appearance in leiomyoma: a case report . Int J Surg Case Rep. 2020, 71:327-30. 10.1016/j.ijscr.2020.05.050
Nishida T, Yoshinaga S, Takahashi T, Naito Y: Recent progress and challenges in the diagnosis and treatment of gastrointestinal stromal tumors. Cancers (Basel). 2021, 13:3158. 10.3390/cancers13133158
Lyros O, Schickel S, Schierle K, Hoffmeister A, Gockel I: [Gastric schwannoma: rare differenzial diagnosis of acute upper gastrointestinal (GI) bleeding]. Z Gastroenterol. 2017, 55:761-5. 10.1055/s-0042-114576
Georgiev A, Tsvetkova S, Aleksova L, Ali M: Gastric lipoma of the pylorus - case report of an incidental finding. Radiol Case Rep. 2021, 16:1882-4. 10.1016/j.radcr.2021.04.054
Sabbah M, Nakhli A, Helal I, Bellil N, Ouakaa A, Gargouri D: Gastrointestinal bleeding as an initial manifestation of gastric lipoma: case report and review of the literature. Clin Case Rep. 2020, 8:1988-92.10.1002/ccr3.3050
Berr F, Hochberger, J, Oyama T (2019) Sub-epithelial gastro-intestinal tumors diagnosis and indications for resection in atlas of early neoplasias of the gastrointestinal tract. Springer. pp: 63-78.
Lee MJ, Lim JS, Kwon JE, et al.: Gastric true leiomyoma: computed tomographic findings and pathological correlation. J Comput Assist Tomogr. 2007, 31:204-8. 10.1097/01.rct.0000237812.95875.bd
Cho JW: Current guidelines in the management of upper gastrointestinal subepithelial tumors . Clin Endosc. 2016, 49:235-40. 10.5946/ce.2015.096
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Copyright (c) 2025 Khalid El Hattabi, Abdelhak Ettaoussi, Kamal Benzidane, Abdellillah El Bakouri, Mounir Bouali, Kamal Khadija, Majd Abdessamad

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