alexa Incidental Discovery of an Esophageal Leiomyoma: Thoracoscopic Surgical Approach
[Jurnalul de Chirurgie]
ISSN: 1584-9341

Journal of Surgery
Open Access

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Case Report

Incidental Discovery of an Esophageal Leiomyoma: Thoracoscopic Surgical Approach

Adrian Tudor1, Ciprian Rosca2*, Vasile Bud2, Cosmin Nicolescu1, Bianca Tudor3 and Calin Molnar4

1University of Medicine and Pharmacy Târgu Mures, Department M1, 1st Surgical Unit, Emergency County Hospital Târgu Mures, Romania

21st Surgical Unit, Emergency County Hospital Târgu Mures, Romania

3University of Medicine and Pharmacy Târgu Mures, Department M2, Central Laboratory, Emergency County Hospital Târgu Mures, Romania

4University of Medicine and Pharmacy Târgu Mures, Department M5, 1 st Surgical Unit, Emergency County Hospital Târgu Mures, Romania

*Corresponding Author:
Ciprian Rosca
Aleea Constructorilor Street
No7, Ap. 13Targu Mures, Romanias
Tel:
+40(0)744517823
E-mail:
[email protected]

Received Date: August 9, 2014; Accepted Date: November 20, 2014; Published Date: November 27, 2014

Citation: Tudor A, Rosca C, Bud V, Nicolescu C, Tudor B, et al. Incidental Discovery of an Esophageal Leiomyoma: Thoracoscopic Surgical Approach. Journal of Surgery [Jurnalul de chirurgie] 2015; 11(2): 389-391 DOI:10.7438/1584-9341-11-2-9

Copyright: © 2015 Tudor A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Esophageal leiomyomas are the most common benign esophageal tumor, originating in the smooth muscle of the esophagus. Patients may accuse dysphagia, epigastric pain, but in 50% of cases are asymptomatic. Paraclinical exams used to highlight the esophageal tumor are esophageal and stomach barium swallow, esophagoscopy, chest CT scan, endoscopic ultrasonography. Thoracoscopic enucleation in recent years has gained many followers.

Case Report: We present herein the case of 43 years old patient admitted in our department for thoracic trauma; the CT scan revealed a tumor in the middle third of the esophagus suggestive for a leiomyoma. Upper GI endoscopy showed an extrinsic compression in the middle third of the esophagus, without mucosal lesions, and esophageal barium swallow showed a slight narrowing of the lumen at this level. Given the findings suggestive of a benign esophageal tumor, possible esophageal leiomyoma, thoracoscopic approach was chosen. We performed a thoracoscopic enucleation with uneventful postoperative follow-up. Histopathology confirmed the diagnosis of esophageal leiomyoma.

Conclusions: Thoracoscopic enucleation is a feasible method to treat esophageal leiomyomas.

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