Leiomyoma of the Ileum

Abstract

Small intestinal neoplasms appear infrequently enough to make each case one of considerable interest. In the experience of the surgeons at the Cleveland Clinic 22 patients with small intestinal tumors verified by microscopic section have been operated on. The locations of the tumors and the pathological diagnoses were as follows:

Resection was done in 13 cases, or 59 per cent of the series. Some form of palliative side-tracking operation was performed in 9 cases, or 41 per cent. The hospital mortality for the series was 27 per cent.

One case in which a leiomyoma of the ileum was resected by the senior author is of especial interest.

CASE REPORT

The patient, a man aged 34, referred to the Clinic by Dr. C. A. Hanson of Newcomerstown, Ohio, was admitted by ambulance, and while being transferred to his room he had a severe chill. He complained bitterly of lower abdominal pain and tenderness. He stated that he had been well until one year ago when he suddenly had passed dark red blood with his stools for several days. Six months later, although he had not noticed further bleeding, he had become pale and easily fatigued and had been treated for anemia of undetermined origin. Four months before admission he had had two chills. Three weeks before admission he had again had several chills, and about the same time he had begun to have increasingly severe constant pain and tenderness in the suprapubic area and pain on bowel movement.

On admission the. . .