Leiomyoma of the Ileum: A Case Report and Literature Review

Abstract Introduction. Leiomyomas are infrequently localized on the ileum. They are diagnosed accidentally or due to complications from their existence. Case report. We present a case of a 65-year-old patient, with CT angiogram performed due to a pain, swelling and coldness in the lower extremities, which pointed to a well-vascularized tumorous formation on the small intestines. Anamnestic and laboratory findings were negative for the existence of carcinoid. Exploratory laparotomy with partial resection of the ileum was performed, using “no touch” technique and a termino-terminal anastomosis was done. Results. The operative and postoperative period were uneventful. The histopathological finding confirmed leiomyoma of the small bowel. Conclusions. Leiomyomas of the small intestines are rare and their clinical presentation is atypical. The surgical therapy is primary and often indicated to accidentally discovered lesions. Definitive diagnosis is confirmed with histopathological analysis from which the further therapy depends.