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조한수 ( Jo Han Su ),김학양 ( Kim Hag Yang ),송영림 ( Song Yeong Lim ),윤호성 ( Yun Ho Seong ),김희선 ( Kim Hui Seon ),고창옥 ( Go Chang Og ),최진욱 ( Choe Jin Ug ),이자영 ( Lee Ja Yeong ),김경호 ( Kim Gyeong Ho ),박준용 ( Park Ju 대한소화기학회 2004 대한소화기학회지 Vol.43 No.2
Gastrointestinal leiomyomas are commonly found in the stomach, and but 3% of them arises from the colon. Colonic leiomyomas are often found incidentally during colonoscopic examination. Most of patients with colonic leiomyoma are asymptomatic, but patients with large size leiomyoma occasionally have abdominal mass, hemorrhage, intestinal obstruction or perforation. Pedunculated leiomyomatous polyp is rare. Leiomyomatous polyps are occasionally misjudged as adenomatous polyps by endoscopist. We report a case of pedunculated leiomyomatous colonic polyp in 65 year-old female patient. She has complained of intermittent hematochezia and lower abdominal discomfort for 5 months. During colonoscopy, an 1㎝ sized long pedunculated polyp at the splenic flexure was detected. It was removed by colonoscopic snare polypectomy. Leiomyomatous polyp was confirmed by micro-scopic and immunohistochemical findings. (Korean J Gastroenterol 2004; 43:129-132)