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

Publication ,  Journal Article
Moris, D; Spanou, E; Sougioultzis, S; Dimitrokallis, N; Kalisperati, P; Delladetsima, I; Felekouras, E
Published in: Medicine
January 2017

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

Duke Scholars

Published In

Medicine

DOI

EISSN

1536-5964

ISSN

0304-5412

Publication Date

January 2017

Volume

96

Issue

1

Start / End Page

e5883

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Middle Aged
  • Male
  • Humans
  • Gastrointestinal Hemorrhage
  • Fibroma
  • Endoscopy, Digestive System
  • Duodenum
  • Duodenal Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moris, D., Spanou, E., Sougioultzis, S., Dimitrokallis, N., Kalisperati, P., Delladetsima, I., & Felekouras, E. (2017). Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report. Medicine, 96(1), e5883. https://doi.org/10.1097/md.0000000000005883
Moris, Demetrios, Evangelia Spanou, Stavros Sougioultzis, Nikolaos Dimitrokallis, Polyxeni Kalisperati, Ioanna Delladetsima, and Evangelos Felekouras. “Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report.Medicine 96, no. 1 (January 2017): e5883. https://doi.org/10.1097/md.0000000000005883.
Moris D, Spanou E, Sougioultzis S, Dimitrokallis N, Kalisperati P, Delladetsima I, et al. Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report. Medicine. 2017 Jan;96(1):e5883.
Moris, Demetrios, et al. “Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report.Medicine, vol. 96, no. 1, Jan. 2017, p. e5883. Epmc, doi:10.1097/md.0000000000005883.
Moris D, Spanou E, Sougioultzis S, Dimitrokallis N, Kalisperati P, Delladetsima I, Felekouras E. Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report. Medicine. 2017 Jan;96(1):e5883.

Published In

Medicine

DOI

EISSN

1536-5964

ISSN

0304-5412

Publication Date

January 2017

Volume

96

Issue

1

Start / End Page

e5883

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Middle Aged
  • Male
  • Humans
  • Gastrointestinal Hemorrhage
  • Fibroma
  • Endoscopy, Digestive System
  • Duodenum
  • Duodenal Neoplasms