Diffuse Leiomyomatosis of the Esophagus: A Case Report

A case of diffuse esophageal leiomyomatosis in a 19-year-old man with a 3 years history of slowly progressive dysphagia is presented. The chest radiograph showed a widened and undulated mediastinal contour. A barium esophagogram demonstrated a multilobulated protuberant lesion with a relatively smooth margin in the upper and middle thoracic esophagus. Contrast-enhanced computed tomography (CT) of the chest revealed a long segment of circumferential soft tissue mass encircling the upper and middle thoracic esophagus with prominent dilatation of the proximal esophageal lumen containing air- fluid levels. Multiple leiomyomas of the esophagus were later proved on esophagectomy.