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Case Studies | Medical Science | India | Volume 12 Issue 4, April 2023

Caecal Leiomyoma in Ruptured Tubal Ectopic Pregnancy: A Rare Case Report

Dr. Pooja Sahoo | Dr. Ashish Mandot | Dr. Junaid Shaikh | Dr. Sarojini Jadhav

Abstract: Background: Gastrointestinal leiomyomas are smooth muscle tumors arising from the muscularis mucosae, muscularis propriae and possibly from smooth muscle of the vessel wall in the bowel. They are also known to be slow growing tumors predominantly seen in men and mean age of detection is 62 years. Though they are known to occur in the entire gastrointestinal tract, esophagus is reported as the most common site. Colonic leiomyomas are uncommon with a reported incidence of 3% of all the gastrointestinal leiomyomas. In the large intestine, recto - sigmoid and descending colon is the most common sites of origin. Case Scenario And Operative Intervention: We are describing a case of a 39 year old female, gravida 8 para 6 having history of tubal ligation done 10 years ago presented as hemoperitoneum with no history of trauma. Radiological investigations were suggestive of Ruptured ectopic pregnancy. Intraoperatively there was evidence of right ruptured tubal ectopic pregnancy with cecal mass. Bilateral salphigectomy with excision of cecal mass, Terminal ileum with ileoascending anastomsis was done. Outcome was favourable. Histopathology was suggestive of ceacal leiomyoma. Conclusion: Leiomyomas are usually solitary tumors and rarely multiple lesions can present as leiomyomatosis syndrome. Location of the lesion may be intraluminal, intramural, or extra - luminal. Leiomyomas can be asymptomatic and can be detected during routine colonoscopy. When symptomatic, the symptoms range from abdominal pain, altered bowel habit and bleeding. Large leiomyomas are also known to cause compressive and obstructive symptoms based on location. Management include laparoscopic resection. Massive bleeding and giant tumors causing compression are some of the clinical scenarios necessitating bowel resection which were also described in literature.

Keywords: Ceacal leiomyoma, ruptured ectopic, pregnancy

Edition: Volume 12 Issue 4, April 2023,

Pages: 1203 - 1205