Enucleation for a Giant Esophageal Leiomyoma in a Pediatric Patient with Preservation of the Native Esophagus. Case Report and Review of the Literature

Date
2021-10-28
Authors
Alawna, Reem
Hliqawi, Alaaeddin
Hamad, Lana
Bakri, Izzeddin A
Aliwisat, Ahmad H
Shaltaf, Ahmad
Ashhab, Hazem
Abu Akar, Firas
Journal Title
Journal ISSN
Volume Title
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Abstract
Background: Esophageal leiomyoma is a sporadic tumor in pediatrics; when it’s a giant leiomyoma and involves more than 2/3rd of the esophagus, esophagectomy may be the only option for the patient. In this Case report, a giant leiomyoma in a child that was enucleated with preserving the patient’s esophagus is reported. Case Presentation: A 13 years old male patient presented with dysphagia since two years. Based on the history, physical examination, imaging and pathology the patient was diagnosed with giant esophageal leiomyoma [10*10*8 cm]. The patient underwent a right anterolateral thoracotomy for tumor enucleation. The postoperative course was complicated with a leak which was handled with endoluminal stenting. The patient is now free of symptoms with a well-healed wound. Conclusion: Usually esophagectomy is performed in this size of leiomyoma. In our case, although the tumor occupied more than 2/3rd of the esophagus, the native esophagus was preserved successfully. Surgeons should always try their best to avoid esophagectomy in this kind of tumor, especially in this pediatric age group.
Description
Keywords
Case Report, Huge Leiomyoma, Surgical Enucleation, Preservation of the Native Esophagus, Pediatric Leiomyoma
Citation
Firas Abu Akar., et al. “Enucleation for a Giant Esophageal Leiomyoma in a Pediatric Patient with Preservation of the Native Esophagus. Case Report and Review of the Literature”. EC Clinical and Medical Case Reports 4.11 (2021): 17-24.