TY - JOUR
T1 - Colonic leiomyoma mimicking a liver tumor
T2 - an unusual diagnosis after en-block robotic resection
AU - Dreifuss, Nicolás H.
AU - Mangano, Alberto
AU - Aguiluz, Gabriela
AU - Mehta, Vikas
AU - Koppe, Sean
AU - Berkelhammer, Charles
AU - Giulianotti, Pier C.
N1 - Publisher Copyright:
© 2021 Published by Oxford University Press and JSCR Publishing Ltd.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - 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.
AB - 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.
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U2 - 10.1093/jscr/rjab418
DO - 10.1093/jscr/rjab418
M3 - Article
C2 - 34567524
AN - SCOPUS:85142452534
SN - 2042-8812
VL - 2021
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 9
M1 - rjab418
ER -