Enucleation of esophageal leiomyoma with azygos continuation of the inferior vena cava: report of a case.
We herein report a rare case of esophageal leiomyoma in an 18-year-old woman with azygos continuation of the inferior vena cava. A submucosal tumor was located in the left wall of the esophagus behind the carina. The enlarged azygos vein made video-assisted thoracic surgery so difficult that conversion to a minithoracotomy and transection of the right superior intercostal vein were necessary to fully visualize the tumor. A pathological diagnosis revealed leiomyoma. Our experience suggests that a transection of the right superior intercostal vein is effective for the proper exposure of an esophageal tumor located behind the carina in a patient with an enlarged azygos vein.
Haraguchi
Shuji
S
Department of Surgery, Nippon Medical School Musashi-kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan.
Hioki
Masafumi
M
Hisayoshi
Takao
T
Yamashita
Yasuo
Y
Sato
Masashi
M
Koizumi
Kiyoshi
K
Shimizu
Kazuo
K
D000293:Adolescent; D001401:Azygos Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004938:Esophageal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging