Esophageal leiomyoma within an epinephric diverticulum

© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington..

Epinephric diverticula are distal esophageal pouches protruding from the epithelial lining of the esophagus while esophageal leiomyomas are benign smooth muscle lesions that constitute a significant percentage of all gastrointestinal leiomyomas. Epinephric diverticula and esophageal leiomyomas are common individually but their co-existence is rare. Moreover, they present asymptomatically but can occasionally present with complains of dysphagia and weight loss. In this paper, we present a 58-year-old Asian man with three months history of indigestion and progressive weight loss. Preoperatively, CT Scan with IV Contrast showed a large soft tissue mass appearing on the right distal esophageal wall, with its lumen communicating with the esophageal lumen, likely representing an epinephric diverticulum. Biopsy and immunohistochemistry stains confirmed the diagnosis of smooth muscle neoplasm, likely a leiomyoma. Later, the patient underwent a two-stage esophagectomy. The postoperative biopsy was consistent with the initial one: therefore, supporting the diagnosis of a leiomyoma. Postoperatively, the recovery remained uneventful.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Radiology case reports - 19(2024), 6 vom: 19. Apr., Seite 2472-2476

Sprache:

Englisch

Beteiligte Personen:

Kumari, Sameeta [VerfasserIn]
Saeed, Muhammad Ibrahim [VerfasserIn]
Ismail, Faisal Waseem [VerfasserIn]
Ibrahim, Muhammad Bilal [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Endoscopic ultrasound (EUS)
Epinephric diverticulum
Esophageal leiomyoma

Anmerkungen:

Date Revised 06.04.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.radcr.2024.03.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370665457