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Case Reports
. 2013 Nov 13:2013:bcr2013201343.
doi: 10.1136/bcr-2013-201343.

Giant leiomyoma of the oesophagus with eosinophilic infiltration

Hadi Mutairi  1 , Mohammad Al-Akkad, Mussarat Afzal, Ikram Chaudhry
Affiliations
Case Reports

Giant leiomyoma of the oesophagus with eosinophilic infiltration

Hadi Mutairi et al. BMJ Case Rep. .

Abstract

The most common benign tumour of the oesophagus is leiomyoma. Haemopoietic elements rarely infiltrate oesophageal leiomyoma. We report the case of a 24-year-old man with a long history of intermittent dysphagia. Endoscopy revealed external compression with normal oesophageal mucosa. A barium swallow study showed a defect in the oesophageal wall and a narrow oesophageal lumen. A CT scan of the chest confirmed a mass in the mid-oesophagus. A tumour was excised and the histology report revealed leiomyoma infiltrated with eosinophils, which is a rare variant.

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Figures

Figure 1
Figure 1
(A) Barium swallow study preoperatively showing a mass arising from the wall of the oesophagus (arrow). (B) CT scan of the thorax showing a mass in the wall of the oesophagus displacing the lumen (arrow) with normal surrounding structures. (C) Postoperative barium swallow showing a normal oesophagus. (D) Postoperative CT scan of the thorax showing a normal oesophageal lumen.
Figure 2
Figure 2
(A) Macroscopic picture after excision of an 8 cm oesophageal leiomyoma. (B) Abundant eosinophils are present within the muscle sheets.
See this image and copyright information in PMC

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