Massive bleeding from the gastrointestinal tract has posed a real problem in diagnosis and treatment where the underlying cause has been obscured. We have successfully treated two such cases due to leiomyomas of the jejunum.
Much has been written on the subject of smooth-muscle tumors, but there is still some confusion, and this results in an incorrect diagnosis and a plan of treatment not always the most desirable.
Golden and Stout have reported 60 smooth-muscle tumors of the gastrointestinal tract at the Presbyterian Hospital, New York. There were 50% of these cases that caused symptoms, and they were distributed as follows: stomach 27%, duodenum 7%, jejunum 3%, ileum 10%, Meckel's diverticulum 3%, colon 7%, rectum 16%, retroperitoneal 27%. Thus it is seen that leiomyomas of the jejunum and Meckel's diverticulum are the rarest but actually a frequent cause of massive obscure gastrointestinal bleeding.
These tumors are indurated, rounded, well-defined,
CORNELL WS, SPRINGALL FS, CULVAHOUSE BM. Benign Leiomyoma of JejunumReport of Two Cases. AMA Arch Surg. 1957;74(3):478-481. doi:10.1001/archsurg.1957.01280090176023