Esophageal leiomyoma within an epinephric diverticulum
Epinephric diverticula are distal esophageal pouches protruding from the epithelial lining of the esophagus while esophageal leiomyomas are benign smooth muscle lesions that constitute a significant percentage of all gastrointestinal leiomyomas. Epinephric diverticula and esophageal leiomyomas are c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332400222X |
| _version_ | 1797234059346182144 |
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| author | Sameeta Kumari Muhammad Ibrahim Saeed Faisal Waseem Ismail Muhammad Bilal Ibrahim |
| author_facet | Sameeta Kumari Muhammad Ibrahim Saeed Faisal Waseem Ismail Muhammad Bilal Ibrahim |
| author_sort | Sameeta Kumari |
| collection | DOAJ |
| description | Epinephric diverticula are distal esophageal pouches protruding from the epithelial lining of the esophagus while esophageal leiomyomas are benign smooth muscle lesions that constitute a significant percentage of all gastrointestinal leiomyomas. Epinephric diverticula and esophageal leiomyomas are common individually but their co-existence is rare. Moreover, they present asymptomatically but can occasionally present with complains of dysphagia and weight loss. In this paper, we present a 58-year-old Asian man with three months history of indigestion and progressive weight loss. Preoperatively, CT Scan with IV Contrast showed a large soft tissue mass appearing on the right distal esophageal wall, with its lumen communicating with the esophageal lumen, likely representing an epinephric diverticulum. Biopsy and immunohistochemistry stains confirmed the diagnosis of smooth muscle neoplasm, likely a leiomyoma. Later, the patient underwent a two-stage esophagectomy. The postoperative biopsy was consistent with the initial one: therefore, supporting the diagnosis of a leiomyoma. Postoperatively, the recovery remained uneventful. |
| first_indexed | 2024-04-24T16:26:02Z |
| format | Article |
| id | doaj.art-a8d0eb0190c640409bd59bdb03435827 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-24T16:26:02Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-a8d0eb0190c640409bd59bdb034358272024-03-31T04:37:15ZengElsevierRadiology Case Reports1930-04332024-06-0119624722476Esophageal leiomyoma within an epinephric diverticulumSameeta Kumari0Muhammad Ibrahim Saeed1Faisal Waseem Ismail2Muhammad Bilal Ibrahim3Medical Graduate, Aga Khan University Hospital, Karachi, PakistanSection of Gastroenterology, Department of Medicine, Aga Khan University Hospital, Karachi, PakistanSection of Gastroenterology, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan; Corresponding author.John H. Stroger Jr Hospital of Cook County, Chicago, IL, USAEpinephric diverticula are distal esophageal pouches protruding from the epithelial lining of the esophagus while esophageal leiomyomas are benign smooth muscle lesions that constitute a significant percentage of all gastrointestinal leiomyomas. Epinephric diverticula and esophageal leiomyomas are common individually but their co-existence is rare. Moreover, they present asymptomatically but can occasionally present with complains of dysphagia and weight loss. In this paper, we present a 58-year-old Asian man with three months history of indigestion and progressive weight loss. Preoperatively, CT Scan with IV Contrast showed a large soft tissue mass appearing on the right distal esophageal wall, with its lumen communicating with the esophageal lumen, likely representing an epinephric diverticulum. Biopsy and immunohistochemistry stains confirmed the diagnosis of smooth muscle neoplasm, likely a leiomyoma. Later, the patient underwent a two-stage esophagectomy. The postoperative biopsy was consistent with the initial one: therefore, supporting the diagnosis of a leiomyoma. Postoperatively, the recovery remained uneventful.http://www.sciencedirect.com/science/article/pii/S193004332400222XEpinephric diverticulumEsophageal leiomyomaEndoscopic ultrasound (EUS) |
| spellingShingle | Sameeta Kumari Muhammad Ibrahim Saeed Faisal Waseem Ismail Muhammad Bilal Ibrahim Esophageal leiomyoma within an epinephric diverticulum Radiology Case Reports Epinephric diverticulum Esophageal leiomyoma Endoscopic ultrasound (EUS) |
| title | Esophageal leiomyoma within an epinephric diverticulum |
| title_full | Esophageal leiomyoma within an epinephric diverticulum |
| title_fullStr | Esophageal leiomyoma within an epinephric diverticulum |
| title_full_unstemmed | Esophageal leiomyoma within an epinephric diverticulum |
| title_short | Esophageal leiomyoma within an epinephric diverticulum |
| title_sort | esophageal leiomyoma within an epinephric diverticulum |
| topic | Epinephric diverticulum Esophageal leiomyoma Endoscopic ultrasound (EUS) |
| url | http://www.sciencedirect.com/science/article/pii/S193004332400222X |
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