Giant oesophageal leiomyoma causing severe hypertension.
Leiomyoma is the most common oesophageal tumour and is symptomatic in about half of the patients. Dysphagia is the most common symptom. A 41-year-old woman presented with recent onset of severe orthostatic hypertension. During the cardiological work-up, a mediastinal mass was found at transthoracic echocardiogram. Further investigation (upper gastrointestinal endoscopy, endoscopic ultrasonography, CT scan and cardiac MRI) confirmed the diagnosis of a large oesophageal submucosal mass compressing the supradiaphragmatic inferior vena cava. The mass was resected through a minimally invasive right thoracoscopic approach with complete relief of symptoms and compression on the vena cava.
Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy.
Andrea
A
Lovece
Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy.
Pamela
P
Milito
Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy.
Emanuele
E
Asti
Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy.
Luigi
L
Bonavina
D000328:Adult; D004938:Esophageal Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology; D047368:Tumor Burden