Case Report


Esophageal leiomyoma: Laparotomic enucleation in a specialty center in the Amazon

,  ,  ,  ,  ,  

1 General Surgery Service at Samel Hospital, 1755, Joaquim Nabuco Av., Centro, Manaus, Amazonas, Brazil

2 Surgical Oncology/Abdominal Department at Samel Hospital, 1755, Joaquim Nabuco Av., Centro, Manaus, Amazonas, Brazil

3 General Practitioner of Faculty of Medicine of the Federal University (UFAM), 1053, Afonso Pena St, Praça 14 de Janeiro, Manaus, Amazonas, Brazil

Address correspondence to:

Maria Letícia da Silva Martins

14, Stênio Neves St, Manaus, Amazonas,

Brazil

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Article ID: 101460Z01MM2024

doi: 10.5348/101460Z01MM2024CR

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How to cite this article

da Silva Martins ML, Figueiredo HF, Lira DL, da Silva Neto RA, Raposo TCS, de Oliveira LP. Esophageal leiomyoma: Laparotomic enucleation in a specialty center in the Amazon. Int J Case Rep Images 2024;15(2):5–9.

ABSTRACT


Introduction: Leiomyoma is considered a rare esophageal tumor, it is more common in the middle and distal esophagus and affects women from 20 to 69 years old. The objective of this article is to report the case of a young patient with digestive symptoms secondary to esophageal Leiomyoma that progressed to enucleation via laparotomy.

Case Report: Young woman, 24 years old, experiencing symptoms of retrosternal pain and dry cough for two years, associated with progressive dysphagia from solids to liquids and weight loss. Upper digestive endoscopy showed a heterogeneous lesion in the distal esophagus and gastrointestinal seriography suggested extramucosal esophageal tumor. Computed tomography (CT) of the chest showed a lobulated formation in the distal esophagus, measuring 5.5 × 3.7 × 3.6 cm (L × T × AP), with a reduction in the luminal diameter in the distal esophagus. Conventional laparotomy treatment was chosen due to the size and location of the lesion at the esophagogastric confluence with tumor enucleation via the transesophageal abdominal route. The patient was discharged on the 4th postoperative day, stable, without symptoms, eating a soft diet orally.

Conclusion: The diagnosis of esophageal leiomyoma, a rare disease with insidious evolution, was observed in a young patient, using an alternative access route to the established thoracotomy access. The appearance of symptoms is related to the size of the lesion, therefore, it should be investigated in patients with dysphagic symptoms with the aim of providing early diagnosis and less complex surgical treatment.

Keywords: Enucleation, Esophagus, Leiomyoma

SUPPORTING INFORMATION


Author Contributions

Maria Letícia da Silva Martins - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Higino Felipe Figueiredo - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Daniel Lourenço Lira - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Rubem Alves da Silva Neto - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Thaís Caroline Sales Raposo - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Larissa Oliveira - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Maria Letícia da Silva Martins et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.