Taking the Lead: A Case Report of a Leiomyoma Causing Duodeno-Duodenal Intussusception and Review of Literature.

Case Rep Pancreat Cancer

Department of Surgery, Jefferson Pancreas, Biliary, and Related Cancer Center, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Published: April 2016

Duodenal masses are rare entities and symptomatic presentation generally is due to abdominal pain or the presence of gastrointestinal bleeding. A number of published case reports in the literature have detailed various neoplasms that have caused an intussusception isolated to the duodenum. This is a particularly unusual phenomenon due to the location and fixation of this portion of the proximal small bowel to the retroperitoneum. We present here a case of duodeno-duodenal intussusception secondary to a leiomyoma. A 65-year-old Caucasian male presented with intermittent bloody stools and syncope over a 9-month period secondary to a duodenal leiomyoma causing intussusception, which was treated through a pancreaticoduodenectomy. Intussusception of the duodenum is an uncommon entity and the diagnosis of a leiomyoma should be considered in the setting of a potential mass in the small intestine.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319677PMC
http://dx.doi.org/10.1089/crpc.2016.0001DOI Listing

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