Leiomyoma of the distal oesophagus mimicking achalasia.
An unusual case of a patient with symptoms suggestive of oesophageal achalasia is described. Most oesophageal tumour growths causing secondary achalasia are associated with malignant tumours. This patient had a large oesophageal leiomyoma closely mimicking achalasia. Treatment consisted of oesophagectomy by laparotomy and right-sided thoracotomy. A gastric tube was constructed with a cervical oesophago-gastrostomy. The patient responded well to the treatment and left the hospital after 13 days. Five other cases of benign oesophageal tumours inducing achalasia-like symptoms could be traced. Three of these were leiomyomas.
Department of Surgery, Academic Hospital, State University, Utrecht, The Netherlands.
F J
FJ
Idenburg
L M
LM
Akkermans
A J
AJ
Smout
C D
CD
Kooijman
H
H
Obertop
D003680:Deglutition Disorders / Q000209:etiology; D003951:Diagnostic Errors; D004931:Esophageal Achalasia / Q000175:diagnosis*; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis*; D008365:Manometry; D008875:Middle Aged; D014057:Tomography, X-Ray Computed