Abstract:
:Dysphagia associated with esophageal mechanical obstruction is usually related to malignant esophageal diseases. Benign lesions are rarely a cause for this type of dysphagia, and usually occur either as an intramural tumor or as an extrinsic compression. Mediastinal tuberculous lymphadenitis is rare in adults, and even more rarely causes dysphagia. We report two cases of dysphagia in adult patients caused by mediastinal tuberculous lymphadenitis, presenting radiologically and endoscopically as an esophageal submucosal tumor. Based on the clinical and imaging diagnosis, the patients underwent a right thoracotomy, and excision of the mass attached to and compressing the esophagus. Pathological examination of the specimens showed a chronic granulomatous inflammation with caseous necrosis, which was consistent with tuberculous lymphadenitis.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Pimenta AP,Preto JR,Gouveia AM,Fonseca E,Pimenta MMdoi
10.3748/wjg.v13.45.6104subject
Has Abstractpub_date
2007-12-07 00:00:00pages
6104-8issue
45eissn
1007-9327issn
2219-2840journal_volume
13pub_type
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