title: Diffuse esophageal leiomyomatosis with localized dense eosinophilic infiltration.
abstract: Diffuse esophageal leiomyomatosis is a rare cause of dysphagia. There is frequently a chronic inflammatory infiltrate, but here we present the first reported case in association with a dense infiltration of eosinophils and mast cells confined to the affected muscularis propria. This was successfully managed by long esophageal myotomy, with resolution of dysphagia and no symptomatic recurrence after 3 years.
authors.affiliation: Department of Surgery, Hope Hospital, Salford, UK.
authors.forename: C D
authors.initials: CD
authors.lastname: Morris
authors.forename: J
authors.initials: J
authors.lastname: Wilkinson
authors.forename: D
authors.initials: D
authors.lastname: Fox
authors.forename: G R
authors.initials: GR
authors.lastname: Armstrong
authors.forename: S E A
authors.initials: SE
authors.lastname: Attwood
mesh_terms: D001707:Biopsy, Needle; D003680:Deglutition Disorders / Q000175:diagnosis; D019160:Endosonography; D004802:Eosinophilia / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D004945:Esophagoscopy; D005500:Follow-Up Studies; D006801:Humans; D018231:Leiomyomatosis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome