Colonic leiomyoma mimicking a liver tumor: an unusual diagnosis after en-block robotic resection

Nicolás H. Dreifuss*, Alberto Mangano, Gabriela Aguiluz, Vikas Mehta, Sean Koppe, Charles Berkelhammer, Pier C. Giulianotti

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Colonic leiomyomas are rare. Their clinical presentation ranges from asymptomatic polyps detected on endoscopy to large symptomatic abdominopelvic masses. Imaging findings are usually non-specific, and percutaneous biopsy might help with differential diagnosis. However, radical surgery with negative margins is ultimately needed to rule out malignancy. We describe an uncommon presentation of a colonic leiomyoma mimicking a right hepatic lobe tumor on preoperative imaging. The robotic approach allowed a precise abdominal exploration with confirmation of colonic and hepatic infiltration and subsequent oncological en-block resection. Surgeons operating on hepatic tumors close to the right colic flexure should be aware of this diagnosis.

Original languageEnglish (US)
Article numberrjab418
JournalJournal of Surgical Case Reports
Volume2021
Issue number9
DOIs
StatePublished - Sep 1 2021

ASJC Scopus subject areas

  • Surgery

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