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April 1951

LEIOMYOMA OF THE JEJUNUMA Neoplasm Imitating the Symptoms of Duodenal Ulcer

AMA Arch Surg. 1951;62(4):580-585. doi:10.1001/archsurg.1951.01250030588017

LEIOMYOMAS of the digestive tract are infrequently encountered, since many of them are asymptomatic and are incidental findings at autopsy or operation and consequently their symptoms are apt to be attributed to commoner ailments. The symptoms of leiomyoma are often those of duodenal ulcer, a common lesion, and it is only natural that the latter should receive preferential consideration in diagnosis. We recently observed a patient with epigastric pain, bleeding from the bowel and roentgen evidence of duodenal spasm and irregularity, which symptoms were incorrectly interpreted as being due to a duodenal ulcer. The patient was treated for an ulcer, on a conservative regimen, for several months, with incomplete relief, and an operation ultimately revealed a leiomyoma of the jejunum which had been the cause of the bleeding, pain and duodenal irregularity.

Segal, Scott and Watson1 first directed attention to the impressive mimicry of this syndrome in 1945. They

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