PMC5552383_01
Gross pathology of mobile indigestible intraluminal obstructive leiomyoma. Arrow denotes ischemic, detached pedicle.
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On gross examination, the mass appeared teardrop in shape, measuring six and a half centimeters in length by three centimeters in maximum diameter with a homogenously pale tan surface (Fig. 1].
a and b. Microscopic pathology confirming leiomyoma.
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Microscopic evaluation revealed diffuse ischemic necrosis with centrally located viable tumor consisting of bland spindle cells arranged in fascicles that showed expression of smooth muscle actin on immunohistochemistry (Fig. 2a and b).
Computed tomography demonstrating obstructive intraluminal mobile leiomyoma. Note the homogenous appearance. Typically, indigestible masses that cause obstruction present with a mottled gas appearance. Arrow denotes transition point.
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