title: A rare case of Dysphagia secondary to a large oesophageal lipoma.
abstract: Dysphagia is considered a warning symptom that requires exclusion of significant pathology such as oesophageal cancer, especially in elderly patients. Benign neoplasms of the oesophagus are rare. We report the case of a 69-year-old lady who presented with a five years history of infrequent intermittent dysphagia that had rapidly progressed over one month. This was associated with globus sensation, weight loss, intermittent episodes of stridor and aspiration pneumonia. Investigations revealed a large oesophageal lipoma in the proximal oesophagus extending down to the lower oesophagus. This was successfully resected via a left cervical approach. She remained well two years after the surgery.
authors.affiliation: Raja Isteri Pengiran Anak Saleha Hospital, Department of Medicine, Jalan Tutong, Bandar Seri Begawan, Brunei Muara BA 1710. chongvuih@yahoo.co.uk.
authors.forename: K S
authors.initials: KS
authors.lastname: Koh
authors.forename: V H
authors.initials: VH
authors.lastname: Chong
authors.forename: S K S
authors.initials: SK
authors.lastname: Yapp
authors.forename: C F
authors.initials: CF
authors.lastname: Chong
mesh_terms: D003680:Deglutition Disorders; D004938:Esophageal Neoplasms; D006801:Humans; D008067:Lipoma