{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:56:19Z","timestamp":1777694179132,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Leiomyomas are uncommon tumors of the gastrointestinal system, representing around 0.03% to 0.05% of all rectal tumors. They tend to have a benign biological behavior and are mostly asymptomatic. When leiomyomas are large in size, they can cause symptoms and complications, including abdominal pain, perforation, intestinal obstruction, and bleeding. We herein present a case of a 57-year-old male patient presenting for colonoscopic evaluation following a positive screening with a fecal occult blood test. The patient was found to have a 10\u2009mm pedunculated polyp at the level of the recto-sigmoid junction, which was removed by hot snare polypectomy and was found to have spindle cells that were positive for desmin, consistent with the rare diagnosis of recto-sigmoid leiomyoma. That being said, this case evokes a rare entity that endoscopists should keep in mind when approaching a recto-colonic polyp.<\/jats:p>","DOI":"10.1177\/11795476241307592","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T07:07:09Z","timestamp":1734678429000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["An Unusual Diagnosis of Rectosigmoid Leiomyoma in an Adult: A Rare Case Report"],"prefix":"10.1177","volume":"17","author":[{"given":"Karam","family":"Karam","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houssein","family":"Chebbo","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Saleh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Jalloul","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johny","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"Al Halabi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3204-9098","authenticated-orcid":false,"given":"Elias","family":"Fiani","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"bibr1-11795476241307592","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.3880417"},{"key":"bibr2-11795476241307592","doi-asserted-by":"publisher","DOI":"10.3393\/jksc.2011.27.4.215"},{"key":"bibr3-11795476241307592","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-14-00054.1"},{"key":"bibr4-11795476241307592","unstructured":"Heidet L, Boye E, Cai Y, et al. Somatic deletion of the 5\u2032 ends of both the COL4A5 and COL4A6 genes in a sporadic leiomyoma of the esophagus. Am J Pathol. 1998;152:673\u2013678. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1858389\/"},{"key":"bibr5-11795476241307592","first-page":"184","volume":"59","author":"Bramis GD","year":"1974","journal-title":"Intern Surg"},{"key":"bibr6-11795476241307592","doi-asserted-by":"publisher","DOI":"10.14740\/gr736e"},{"key":"bibr7-11795476241307592","volume":"7","author":"Husain N","year":"2004","journal-title":"Intern J Surg"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241307592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476241307592","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241307592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:14:36Z","timestamp":1777454076000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476241307592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":7,"alternative-id":["10.1177\/11795476241307592"],"URL":"https:\/\/doi.org\/10.1177\/11795476241307592","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"11795476241307592"}}