Zahid M A, Waqar S H, Syed Shamsuddin, Imtiaz Ahmed, Faisal Saud Dar.
Leiomyoma of esophagus.
J Coll Physicians Surg Pak Jan ;13(6):347-9.

We present a case of leiomyoma oesophagus which was presented in our surgical outpatient department with symptom of dysphagia for the last one year. Patient was investigated and diagnosed as a case of benign oesophageal neoplasm. She was successfully treated by transthoracic enucleation in our surgical unit at PIMS, Islamabad.

Case Report: A 37 years old female presented with complaints of dysphagia for the last one year associated with vomiting and epigastric burning sensation, progressive dysphagia for solids so she had to live on liquid diet only. There was no history of weight loss, haematemesis, melaena, breathlessness and haemoptysis but she had jaundice two years back which settled on conservative therapy. General physical and systemic examination was normal. Routine haematological investigations were normal. Barium swallow showed a smooth filling defect at the junction of upper and middle one-third of the oesophagus. Oesophagoscopy was carried out which revealed a smooth walled mass of oesophagus extending 20-28 cm from incisors with normal mucosa. Angulation above and below the lesion was also appreciated. Multiple biopsies were taken and histopathology reported hyperplastic mucosa. CT scan described a smooth walled circumscribed mass of oesophagus and there was no mediastinal lymphadenopathy or local invasion of the tumor. Surgery was planned and transthoracic enucleation was done through right thoracotomy. Tumor was enucleated without damaging the mucosa. Recovery was uneventful and nasogastric tube was removed on 6th postoperative day after normal gastrographin studies. Histopathological report described the tumor as leiomyoma oesophagus. Patient was followed-up with normal barium swallow studies after one month of operation. Six months after surgery the patient was completely asymptomatic.

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