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Case Reports
. 2017 Jan;9(1):E26-E31.
doi: 10.21037/jtd.2017.01.34.

Minimally invasive surgery for giant esophageal leiomyoma: a case report & review of the literatures

Xiaosang Chen  1 , Yong Xi  1 , Hao Wang  1 , Lijie Tan  1
Affiliations
Case Reports

Minimally invasive surgery for giant esophageal leiomyoma: a case report & review of the literatures

Xiaosang Chen et al. J Thorac Dis. 2017 Jan.

Abstract

Despite the rapid development of minimally invasive surgery, the treatment of esophageal lesions remains controversial. Giant esophageal leiomyoma could be removed once diagnosed, but its operative method is not quite the same as esophageal leiomyoma of small size. We report a case of giant esophageal leiomyoma and review published cases of giant leiomyomas in the past 10 years. A 29-year-old man was admitted to the clinic for the complaints of 2-month history of dysphagia and discomfort. Radiologic and endoscopic findings suggested esophageal lesion in the muscular layer. The VATS enucleation was performed to relieve the patient's symptoms. The patient started oral intake on the 1st postoperative day, with following solid meal. The postoperative course was uneventful, and the patient was discharged on the 8th postoperative day.

Keywords: Giant esophageal leiomyoma; VATS; enucleation; minimally invasive surgery.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Upper gastrointestinal endoscopy revealed a mucosal protuberant lesion at 25–30 cm from the incisor teeth and a normal, smooth esophageal mucosa.
Figure 2
Figure 2
Endoscopic ultrasonography (EUS) revealed the well-circumscribed, hypoechoic mass originated from the muscularis propria layer.
Figure 3
Figure 3
Computed tomography (CT) of the thorax showed a well-circumscribed soft tissue opacity with homogeneous density located in the middle and lower thirds of the thoracic esophagus.
Figure 4
Figure 4
Videoendoscopic image of the leiomyoma covered by mediastinal pleura of esophagus before dissection (A). The visualization of the giant leiomyoma after dissection (B,C). The visualizaion of the leision after enucleation (D).
Figure 5
Figure 5
Operative specimen.
See this image and copyright information in PMC

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