Abstract
We report a case of adenomyoma in the small intestine, which is an extremely rare entity. An 81-year-old woman presented to our hospital with a history of three episodes of vomiting accompanied by abdominal pain. Upper gastrointestinal examination via a long tube found intestinal obstruction caused by a tumor of the small intestine. Laparotomy revealed a hard mass, 160 cm distal to the Treitz ligament. Pathological examinations of the resected tumor confi rmed a diagnosis of adenomyoma originating in the small intestine. To our knowledge, this is only the second report of an adenomyoma of small intestine causing intestinal obstruction in an adult.
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Stewart MJ, Taylor AL. Adenomyoma of the stomach. J Pathol Bacteriol 1925;28:195–202.
Clarke BE. Myoepithelial hamartoma of the gastrointestinal tract: a report of eight cases with comment concerning genesis and nomenclature. Arch Pathol 1940;30:143–152.
Lasser A, Koufman WB. Adenomyoma of the stomach. Am J Dig Dis 1977;22:965–969.
Chan YF, Roche D. Adenomyoma of the small intestine in children. J Pediatr Surg 1994;29:1611–1612.
Park HS, Lee SO, Lee JM, Kang MJ, Lee DG, Chung MJ. Adenomyoma of the small intestine: report of two cases and review of the literature. Pathol Int 2003;53:111–114.
Yao T, Yao K, Matake H, Furukawa K, Nagae T, Motomura A, et al. Primary small intestinal tumors (in Japanese with English abstract). I to Cho (Stomach and Intestine) 2001;36:871–881.
Schwartz SI, Radwin HM. Myoepithelial hamartoma of the ileum causing intussusception. AMA Arch Surg 1958;77:102–104.
Rosenmann E, Maayan C, Lernau O. Leiomyomatous hamartosis with congenital jejunoileal atresia. Isr J Med Sci 1980;16:775–779.
Gal R, Kolkow Z, Nobel M. Adenomyomatous hamartoma of the small intestine: a rare cause of intussusception in an adult. Am J Gastroenterol 1986;81:1209–1211.
Kim CJ, Choe GY, Chi JG. Foregut choristoma of the ileum (adenomyoma) — a case report. Pediatr Pathol 1990;10:799–805.
Gal R, Rath-Wolfson L, Ginburg M, Kessler E. Adenomyoma of the small intestine. Histopathology 1991;18:369–371.
Lamki N, Woo CL, Watson AB Jr, Kim HS. Adenomyomatous hamartoma causing ileoileal intussusception in a young child. Clin Imag 1993;17:183–185.
Serour F, Gorenstein A, Lipnitzky V, Zaidel L. Adenomyoma of the small bowel: a rare cause of intussusception in childhood. J Pediatr Gastroenterol Nutr 1994;18:247–249.
Gonzalvez J, Marco A, Andujar M, Iniguez L. Myoepithelial hamartoma of the ileum: a rare cause of intestinal intussusception in children. Eur J Pediatr Surg 1995;5:303–304.
Tanaka N, Seya T, Onda M, Kanazawa Y, Naitoh Z, Asano G, et al. Myoepithelial hamartoma of the small bowel: report of a case. Surg Today 1996;26:1010–1013.
Hizawa K, Iida M, Aoyagi K, Mibu R, Yano T, Fujishima M. Jejunal myoepithelial hamartoma associated with Gardner’s syndrome: a case report. Endoscopy 1996;28:727.
Yamagami T, Tokiwa K, Iwai N. Myoepithelial hamartoma of the ileum causing intussusception in an infant. Pediatr Surg Int 1997;12:206–207.
Yao JL, Zhou H, Roche K, Bangaru BS, Ginsburg H, Greco MA. Adenomyoma arising in a Meckel diverticulum: a case report and review of the literature. Pediatr Dev Pathol 2000;3:497–500.
Ueyama N, Kuwashima S, Nakayama A, Nakanishi K, Okuchi K, Kagoshima T, et al. Ileal adenomyoma accompanied by primary peritonitis report of a case. Surg Today 2001;31:826–829.
Lee JS, Kim HS, Jung JJ, Kim YB. Adenomyoma of the small intestine in an adult: a rare cause of intussusceptions. J Gastroenterol 2002;37:556–559.
Mouravas V, Koutsoumis G, Patoulias J, Kostopoulos I, Kottakidou R, Kallergis K, et al. Adenomyoma of the small intestine in children: a rare cause of intussusception: a case report. Turk J Pediatr 2003;45:345–347.
Takahashi Y, Fukushima J, Fukusato T, Mori S. Adenomyoma with goblet and Paneth cells of the ileum. Pathol Res Pract 2006;202:549–553.
Yu HC, Lo GH, Lai KH, Hsu PI, Chen IS, Hsich PP. Adenomyoma of the jejunum: a rare cause of gastrointestinal bleeding. J Chin Med Assoc 2008;71:96–99.
Qing X, Petrie BA, Busion V, French S. Adenomyoma of the jejunum. Exp Mol Pathol 2009;86:127–130.
Herbsman H, Wetstein L, Rosen Y, Orces H, Alfonso AE, Iyer SK, et al. Tumors of the small intestine. Curr Probl Surg 1980; 17:121–182.
Ryan A, Lafnitzegger JR, Lin DH, Jakate S, Staren ED. Myoepithelial hamartoma of the duodenal wall. Virchows Arch 1998; 432:191–194.
Robert RE. Nonneoplastic polyps and nodules of the small bowel. In: Sternberg SS, editor. Diagnostic surgical pathology. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 1999. p. 1360.
Palanivelu C, Rangarajan M, Senthilkumar R, Annapoorni S. Laparoscopic management of an obstructing granulocytic sarcoma of the jejunum causing intussusception in a nonleukemic patient: report of a case. Surg Today 2009;39:606–609.
Chu PG, Weiss LM. Keratin expression in human tissues and neoplasms. Histopathology 2002;40:403–439.
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Tomibayashi, A., Sasaki, S., Nakayama, H. et al. Adenomyoma of the small intestine in an adult: Report of a case. Surg Today 41, 1101–1105 (2011). https://doi.org/10.1007/s00595-010-4413-y
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DOI: https://doi.org/10.1007/s00595-010-4413-y