Abstract |
Esophageal leiomyomatosis is a rare hamartomatous disorder with varied presentation. In the literature, it is described mostly in children, and is associated with Alport's syndrome. A case of leiomyomatosis that presented as achalasia not associated with Alport's syndrome is described in a 35-year-old woman with a 16-year history of dysphagia. Barium swallow showed a smooth narrowing at the lower end of the esophagus with a longer than usual stricture length. Endoscopy showed a dilated esophagus with a submucosal nodule in the region of the cardia. A computed tomography scan revealed circumferential thickening of the esophagus involving the gastroesophageal junction, with fat planes maintained with the adjacent structure. Endoscopic ultrasound demonstrated a lesion arising from the muscularis propria. The manometry findings were suggestive of achalasia. She underwent transhiatal esophagectomy with gastric pull-up. Leiomyomatosis should be considered as a cause of psuedoachalasia in patients with symptoms suggestive of achalasia and atypical barium findings. Attempts should be made to confirm the diagnosis preoperatively using computed tomography and/or endoscopic ultrasound. Esophagectomy is the treatment of choice.
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Authors | S Ray, S Singh Saluja, R Gupta, T Kanti Chattopadhyay |
Journal | Canadian journal of gastroenterology = Journal canadien de gastroenterologie
(Can J Gastroenterol)
Vol. 22
Issue 2
Pg. 187-9
(Feb 2008)
ISSN: 0835-7900 [Print] Canada |
PMID | 18299739
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Esophageal Achalasia
(etiology)
- Esophageal Neoplasms
(complications, diagnosis, surgery)
- Female
- Humans
- Leiomyomatosis
(complications, diagnosis, surgery)
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