Lovece A, Milito P, Asti E, Bonavina L. Giant oesophageal leiomyoma causing severe hypertension.
BMJ Case Rep 2016;
2016:bcr-2016-216837. [PMID:
27624448 DOI:
10.1136/bcr-2016-216837]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Leiomyoma is the most common oesophageal tumour and is symptomatic in about half of the patients. Dysphagia is the most common symptom. A 41-year-old woman presented with recent onset of severe orthostatic hypertension. During the cardiological work-up, a mediastinal mass was found at transthoracic echocardiogram. Further investigation (upper gastrointestinal endoscopy, endoscopic ultrasonography, CT scan and cardiac MRI) confirmed the diagnosis of a large oesophageal submucosal mass compressing the supradiaphragmatic inferior vena cava. The mass was resected through a minimally invasive right thoracoscopic approach with complete relief of symptoms and compression on the vena cava.
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