Mediastinal tuberculous lymphadenitis presenting as an esophageal intramural tumor: a very rare but important cause for dysphagia.

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 Gastroenterol

authors

Pimenta AP,Preto JR,Gouveia AM,Fonseca E,Pimenta MM

doi

10.3748/wjg.v13.45.6104

subject

Has Abstract

pub_date

2007-12-07 00:00:00

pages

6104-8

issue

45

eissn

1007-9327

issn

2219-2840

journal_volume

13

pub_type

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