Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report.

Journal Article (Journal Article)


We are reporting the first-to our knowledge-case of duodenal Plexiform Fibromyxoma causing obscure upper gastrointestinal bleeding.

Patient concerns

Plexiform fibromyxoma triggered recurrent upper gastrointestinal bleeding episodes in a 63-year-old man who remained undiagnosed, despite multiple hospitalizations, extensive diagnostic workups and surgical interventions (including gastrectomies), for almost 17 years.


During hospitalization for the last bleeding episode, an upper gastrointestinal endoscopy revealed an intestinal hemorrhagic nodule. The lesion was deemed unresectable by endoscopic means. An abdominal computerized tomography disclosed no further lesions and surgery was decided. The lesion at operation was found near the edge of the duodenal stump and treated with pancreas-preserving duodenectomy (1st and 2nd portion).


Postoperative recovery was mainly uneventful and a 20-month follow-up finds the patient in good health with no need for blood transfusions.Plexiform fibromyxomas stand for a rare and widely unknown mesenchymal entity. Despite the fact that they closely resemble other gastrointestinal tumors, they distinctly vary in clinical management as well as the histopathology. Clinical awareness and further research are compulsory to elucidate its clinical course and prognosis.

Full Text

Duke Authors

Cited Authors

  • Moris, D; Spanou, E; Sougioultzis, S; Dimitrokallis, N; Kalisperati, P; Delladetsima, I; Felekouras, E

Published Date

  • January 2017

Published In

Volume / Issue

  • 96 / 1

Start / End Page

  • e5883 -

PubMed ID

  • 28072751

Pubmed Central ID

  • PMC5228711

Electronic International Standard Serial Number (EISSN)

  • 1536-5964

International Standard Serial Number (ISSN)

  • 0304-5412

Digital Object Identifier (DOI)

  • 10.1097/md.0000000000005883


  • eng