Giant Diffuse Esophageal Leiomyomatosis. Case Report

Main Article Content

Servio Tulio Torres Rodríguez
https://orcid.org/0000-0001-8914-5588
Giovanni Renato Juárez Cheng
https://orcid.org/0009-0005-0487-0243
Leonidas Danilo Herrera Cruz
https://orcid.org/0000-0001-5694-5984
Sergio Alejandro Villeda Castañeda
https://orcid.org/0000-0003-1958-4707
Elka Marlene Lainfiesta Moncada
https://orcid.org/0000-0003-4051-4172
Orlando Rodas Pernillo

Abstract

Introduction: Esophageal leiomyomatosis is a benign neoplasm with an extremely low incidence of esophageal tumors and is sometimes difficult to categorize as a neoplasm or myopathy. 


Clinical case: The case of a 24-year-old girl, who consulted for progressive dysphagia of one year of evolution and a history of having discovered a “spot” on her lung ten years ago, is reported. The images show a mass that occupies the middle and lower third of the esophagus and proximal megaesophagus due to obstruction at the level of the cardia. Total esophagectomy, tubulization and gastric ascent with pyloroplasty plus lateral esophagogastric anastomosis at the cervical level were performed. The pathology confirms the histology of esophageal leiomyomatosis. 


Conclusion: It is a very rare pathology with few reported cases.

Downloads

Download data is not yet available.

Article Details

How to Cite
Torres Rodríguez, S. T. ., Juárez Cheng, G. R., Herrera Cruz, L. D., Villeda Castañeda, S. A., Lainfiesta Moncada, E. M., & Rodas Pernillo, O. (2024). Giant Diffuse Esophageal Leiomyomatosis. Case Report. Respirar, 16(4), 405–410. https://doi.org/10.55720/respirar.16.4.8
Section
Casos clínicos
Author Biography

Leonidas Danilo Herrera Cruz, Hospital de Referencia Nacional de Enfermedades Respiratorias, Guatemala, Guatemala

 

 

References

Jessurun J, Chavez-Espinoza J, Becerril-Carmona G, Padua-Gabriel A, Bernal-Sahagun F. Leiomiomatorsis esofágica. Gac Med Mex 1988;124(1–2):47–51.

Berenguer Francés MA, Onrubia Pintado JA. Leiomiomatosis esofágica difusa como diagnóstico diferencial de disfagia. Med Clin (Barc) 2016;147(8):377–8. Doi: 10.1016/j.medcli.2016.06.009.

Prades J, Barthélemy C. Tumores benignos del esófago. EMC - Otorrinolaringol 2008;37(2):1–8. Doi: 10.1016/S1632-3475(08)70308-4.

Ziogas IA, Mylonas ÃKS, Tsoulfas ÃG, Zavras N, Nikiteas N, Schizas D. Diffuse Esophageal Leiomyomatosis in Pediatric Patients : A Systematic Review and Quality of Evidence Assessment. Eur J Pediatr Surg 2018;2–9.

Thomas LA, Balaratnam N, Richards DG, Duane PD. Diffuse esophageal leiomyomatosis : another cause of pseudoachalasia. Dis Esophagus 2000;13:165–8. Doi: 10.1046/j.1442-2050.2000.00106.x.

Calabrese C, Fabbri A, Fusaroli P, Di Gaetano P, Miglioli M, Di Febo G. Diffuse esophageal leiomyomatosis : case report and review. Gastrointest Endosc 2002;55(4):3–6. Doi: 10.1067/mge.2002.122581.

Conca F, Rosso N, López Grove R, Savluk L, Santino J, Ulla M. Patología tumoral esofágica: Claves diagnósticas mediante neumo-tomografía computarizada (Neumo-TC). Radiología 2023; 65(6): 546-553. Doi: 10.1016/j.rx.2023.03.003.

Mutrie CJ, Donahue DM, Wain JC et al. Esophageal leiomyoma: A 40-year experience. Ann Thorac Surg 2005;79(4):1122–5. Doi: 10.1016/j.athoracsur.2004.08.029.

Peixoto A. Large incidental esophageal leiomyoma: Radiological findings. Radiol Case Reports 2022;17(11):4417–20. Doi: 10.1016/j.radcr.2022.08.082.

Hallin M, Mudan S, Thway K. Interstitial Cells of Cajal in Deep Esophageal Leiomyoma : Immunohistochemical Mimics of Gastrointestinal Stromal Tumor. Int J Surg Pathol 2017;1–3. Doi: 10.1177/1066896916660197.

Loviscek LF, Hyoun Yun J, Sun Park Y, Chiari A, Grillo C, Cenoz MC. Leiomioma de esófago. Cir Esp 2009;85(3):147–51.

Froiio C, Berlth F, Capovilla G et al. Robotic ‑ assisted surgery for esophageal submucosal tumors : a single ‑ center case series. Updates Surg 2022; 74(3): 1043–54. Doi: 10.1007/s13304-022-01247-z.

Most read articles by the same author(s)