A CASE OF GIANT ESOPHAGEAL LEIOMYOMA DEVELOPED INTO THE THORACOABDOMINAL SPACE

A case of giant esophageal leiomyoma with 15cm in long diameter developed into the thracoabdominal space is reported with some considerations of the literature. A 34-year-old male with epigastralgia had been pointed out a protrusion in the lower esophagus 11 years before. Upper gastrointestinal series revealed a stenosis from the intrathoracic middle esophagus to cardial lesion. Endoscopic examination revealed a submucosal tumor in the esophagocardiac lesion. CT and MRI showed a giant submucosal tumor circumfused the esophageal lumen and developed into the thoraco-abdominal space. Lower esophagectomy and upper gastrectomy reconstructed with jejunal transfer were performed under the left anterolateral thoracotomy and laparotomy. The resected tumor was 15×10.5×10cm in size, and benign leimyoma histopathologically. Postoperative course was uneventful. The patient was discharged from the hospital on the 25th postoperative day.