Small bowel angiomyxoma causing intussusception: Case report and review of the literature

Abstract

Highlights Myxomas of the small bowel are very rare. They usually present with mechanical small bowel obstruction caused by an intussusception. They mainly occur in females in their forties. Surgical resection is always indicated. They are usually solitary and do not metastasize.

Small intestinal myxoma presented with bowel obstruction, a rare case report

“…Myxoma is originated from mesenchymal tissue and is characterized by the loose textured slimy tissue of stellate cells, reticulin fibers, and mucoid substance. It is mainly found in the skin, soft tissue, and heart [5] . Myxomas are rarely reported in the small intestine.…”

“… Case Reference Age (yrs.) Sex Clinical presentation Site Surgical intervention 1 Bourgett et al [7] 20 Female Abdominal pain, constipation Ileum Segmental resection 2 Brachetto et al [8] 54 Male Abdominal pain Ileum Segmental resection 3 Larimore et al [9] 48 Female Abdominal pain, nausea, vomiting Ileum Segmental resection 4 Sullivan et al [10] 44 Female Abdominal pain, distention, nausea Jejunum Segmental resection 5 Stout et al [11] 68 Female Abdominal pain, distention, nausea Ileum Segmental resection 6 Weinberg et al [12] 40 Female Abdominal pain, nausea, vomiting Ileum Segmental resection 7 Wang et al [6] 47 Female Abdominal pain, constipation Ileum Segmental resection 8 Varsamis et al [1] 44 Female Abdominal pain, distention, nausea Ileum Segmental resection 9 Mousa et al [5] 38 Male Abdominal pain, distention, nausea, bloody diarrhea Ileum Right hemicolectomy 10 …”

“…True myxomas are benign and tend to infiltrate surrounding tissues, and do not metastasis. Therefore, treatment of intestinal myxomas should comprise of simple, wide resection of the intestinal segment with primary anastomosis and close follow-up to detect recurrence of the tumor [5] .…”