title: Endoscopic Resection of a Giant Esophageal Lipoma Causing Sudden Choking.
abstract: Most esophageal lipomas are discovered incidentally and are small and asymptomatic. However, large (>4 cm) lipomas may cause various symptoms, including dysphagia, regurgitation, or epigastric discomfort. We present a 45-year-old woman with intermittent sudden choking and globus pharyngeus. Upper gastrointestinal endoscopy and endoscopic ultrasound revealed an approximately 10.0×1.5 cm pedunculated subepithelial tumor in the upper esophagus, identified as the cause of her symptoms. A thoracic computed tomography scan revealed a fat attenuated longitudinal mass along the upper esophagus, suggestive of a lipoma. Endoscopic resection of the lesion was performed with a detachable snare to relieve her symptoms, and the pathologic findings were consistent with a lipoma.
authors: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors: Dong Ho
authors: DH
authors: Jo
authors: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors: Hyung Ku
authors: HK
authors: Chon
authors: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors: Sun Ho
authors: SH
authors: Woo
authors: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors: Tae Hyeon
authors: TH
authors: Kim
mesh_terms: D000402:Airway Obstruction / Q000209:etiology*; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed
keywords: Endoscopy; Esophagus; Lipoma