1. Leiomyoma of the distal oesophagus mimicking achalasia.
- Author
-
Idenburg FJ, Akkermans LM, Smout AJ, Kooijman CD, and Obertop H
- Subjects
- Deglutition Disorders etiology, Diagnostic Errors, Esophageal Neoplasms complications, Esophagoscopy, Female, Humans, Leiomyoma complications, Manometry, Middle Aged, Tomography, X-Ray Computed, Esophageal Achalasia diagnosis, Esophageal Neoplasms diagnosis, Leiomyoma diagnosis
- Abstract
An unusual case of a patient with symptoms suggestive of oesophageal achalasia is described. Most oesophageal tumour growths causing secondary achalasia are associated with malignant tumours. This patient had a large oesophageal leiomyoma closely mimicking achalasia. Treatment consisted of oesophagectomy by laparotomy and right-sided thoracotomy. A gastric tube was constructed with a cervical oesophago-gastrostomy. The patient responded well to the treatment and left the hospital after 13 days. Five other cases of benign oesophageal tumours inducing achalasia-like symptoms could be traced. Three of these were leiomyomas.
- Published
- 1991