title: Extensive preoperative workup in diffuse esophageal leiomyomatosis associated with Alport syndrome influences surgical treatment: A case report.
abstract: BACKGROUND
  Diffuse esophageal leiomyomatosis is a rare disease. Misdiagnosis is frequent and previous surgeries can complicate surgical management. The only treatment described for severe symptomatic cases is esophagectomy.
  
  
  METHODS
  We describe a case of diffuse esophageal leiomyomatosis associated with Alport syndrome in a 21 year-old female where endoscopic ultrasonography (EUS) with concomitant fluoroscopy and 3D-gastric computed tomography (3D-GCT) modified surgical management.
  
  
  CONCLUSIONS
  The diagnosis of diffuse esophageal leiomyomatosis is difficult but can be greatly facilitated by extensive endoscopic and radiologic workup. Esophagectomy should only be entertained after complete anatomic mapping of the lesions, especially after previous surgeries.
  
  
  CONCLUSIONS
  EUS and 3D-GCT should strongly be considered as part of routine preoperative workup in these patients.
authors: Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon, France. Electronic address: francois.dagbert@umontreal.ca.
authors: F
authors: F
authors: Dagbert
authors: Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon, France.
authors: E
authors: E
authors: Pelascini
authors: Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon, France.
authors: A
authors: A
authors: Pasquer
authors: Service de Gastroentérologie, Hôpital Edouard-Herriot, Lyon, France.
authors: R
authors: R
authors: Gincul
authors: Service de Gastroentérologie, Hôpital Edouard-Herriot, Lyon, France.
authors: F
authors: F
authors: Mion
authors: Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon, France.
authors: G
authors: G
authors: Poncet
authors: Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon, France.
authors: M
authors: M
authors: Robert
keywords: 3D-gastric computed tomography; Alport syndrome; Diffuse esophageal leiomyomatosis; Endoscopic ultrasound; Esophagectomy