Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia

Esophageal leiomyomatosis is a rare hamartomatous disorder with varied presentation. In the literature, it is described mostly in children, and is associated with Alport’s syndrome. A case of leiomyomatosis that presented as achalasia not associated with Alport’s syndrome is described in a 35-year-o...

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Main Authors: Sukanta Ray, Sundeep Singh Saluja, Ruchika Gupta, Tushar Kanti Chattopadhyay
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2008/603105
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author Sukanta Ray
Sundeep Singh Saluja
Ruchika Gupta
Tushar Kanti Chattopadhyay
author_facet Sukanta Ray
Sundeep Singh Saluja
Ruchika Gupta
Tushar Kanti Chattopadhyay
author_sort Sukanta Ray
collection DOAJ
description Esophageal leiomyomatosis is a rare hamartomatous disorder with varied presentation. In the literature, it is described mostly in children, and is associated with Alport’s syndrome. A case of leiomyomatosis that presented as achalasia not associated with Alport’s syndrome is described in a 35-year-old woman with a 16-year history of dysphagia. Barium swallow showed a smooth narrowing at the lower end of the esophagus with a longer than usual stricture length. Endoscopy showed a dilated esophagus with a submucosal nodule in the region of the cardia. A computed tomography scan revealed circumferential thickening of the esophagus involving the gastroesophageal junction, with fat planes maintained with the adjacent structure. Endoscopic ultrasound demonstrated a lesion arising from the muscularis propria. The manometry findings were suggestive of achalasia. She underwent transhiatal esophagectomy with gastric pull-up.
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series Canadian Journal of Gastroenterology
spelling doaj-art-61729bcf629f49fab140f147523d0b542025-02-03T01:32:51ZengWileyCanadian Journal of Gastroenterology0835-79002008-01-0122218718910.1155/2008/603105Esophageal Leiomyomatosis – An Unusual Cause of PseudoachalasiaSukanta Ray0Sundeep Singh Saluja1Ruchika Gupta2Tushar Kanti Chattopadhyay3Department of Gastrointestinal Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Gastrointestinal Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Gastrointestinal Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaEsophageal leiomyomatosis is a rare hamartomatous disorder with varied presentation. In the literature, it is described mostly in children, and is associated with Alport’s syndrome. A case of leiomyomatosis that presented as achalasia not associated with Alport’s syndrome is described in a 35-year-old woman with a 16-year history of dysphagia. Barium swallow showed a smooth narrowing at the lower end of the esophagus with a longer than usual stricture length. Endoscopy showed a dilated esophagus with a submucosal nodule in the region of the cardia. A computed tomography scan revealed circumferential thickening of the esophagus involving the gastroesophageal junction, with fat planes maintained with the adjacent structure. Endoscopic ultrasound demonstrated a lesion arising from the muscularis propria. The manometry findings were suggestive of achalasia. She underwent transhiatal esophagectomy with gastric pull-up.http://dx.doi.org/10.1155/2008/603105
spellingShingle Sukanta Ray
Sundeep Singh Saluja
Ruchika Gupta
Tushar Kanti Chattopadhyay
Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
Canadian Journal of Gastroenterology
title Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
title_full Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
title_fullStr Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
title_full_unstemmed Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
title_short Esophageal Leiomyomatosis – An Unusual Cause of Pseudoachalasia
title_sort esophageal leiomyomatosis an unusual cause of pseudoachalasia
url http://dx.doi.org/10.1155/2008/603105
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