Diffuse esophageal leiomyomatosis: another cause of pseudoachalasia.

Abstract:

:The patient was a 22-year-old woman who had presented in early childhood with gastroesophageal reflux and who subsequently underwent surgery. It was commented upon by the surgeons at that time that the esophagus was abnormally thickened. The patient subsequently presented during her first pregnancy with a vulval tumor, which proved histologically to be a leiomyoma. She was also found to have a grossly dilated esophagus and was thought to have achalasia. However, endoscopic ultrasound imaging showed gross hypertrophy of the mid- and distal esophageal wall, with only mild symptoms of dysphagia, which had been long-standing. The appearance of the esophagus was consistent with diffuse esophageal leiomyomatosis. In view of the associated vulval leiomyoma, the patient demonstrated esophagovulvar syndrome.

journal_name

Dis Esophagus

authors

Thomas LA,Balaratnam N,Richards DG,Duane PD

doi

10.1046/j.1442-2050.2000.00106.x

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

165-8

issue

2

eissn

1120-8694

issn

1442-2050

journal_volume

13

pub_type

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