title: [Cavernous haemangioma in the Muscularis propria of the oesophagus and in the paraoesophageal tissue].
abstract: This is a case report of a 45-year-old woman who presented herself in our hospital with increasing retrosternal tenderness to pressure, dysphagia, and symptoms of reflux oesophagitis. The clinical examination and laboratory results showed no pathological findings. Oesophagogastroduodenoscopy revealed a bluish-livid, bulging mass from 32-38 cm aborally. A malignancy could not be excluded by biopsies with histological work-up, endoscopical ultrasound, nor CT-scan. By thoraco-abdominal surgery, a 5 cm large vascularised tumour of the outer layers of the oesophagus and the paraoesophageal tissue was resected. After intrathoracic oesophago-gastrostomy the patient could be discharged 17 days after surgery without further symptoms. Histology showed a benign tumour which was classified as cavernous haemangioma. To our knowledge, this is the first case of a haemangioma which involves the paraoesophageal tissue and the muscularis propria. The few published case reports of cavernous haemangioma of the oesophagus describe only an involvement of the mucosa and submucosa.
authors.affiliation: Klinikum Ernst von Bergmann, Potsdam, Medizinische Klinik, Gastroenterologie, Infektiologie, Pneumologie, Germany.
authors.forename: H U
authors.initials: HU
authors.lastname: Jahn
authors.forename: B
authors.initials: B
authors.lastname: Matthees
authors.forename: H J
authors.initials: HJ
authors.lastname: Wenisch
authors.forename: J
authors.initials: J
authors.lastname: Hierholzer
authors.forename: F
authors.initials: F
authors.lastname: Bousseljot
authors.forename: H
authors.initials: H
authors.lastname: Wiechmann
authors.forename: T
authors.initials: T
authors.lastname: Weinke
mesh_terms: D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D016145:Endoscopy, Digestive System; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004947:Esophagus / Q000473:pathology; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009130:Muscle, Smooth / Q000473:pathology / Q000601:surgery
vernacular_title: Kavernöses Hämangiom in der Muscularis propria des Osophagus und im paraösophagealen Gewebe.