Case report: successful resection of a leiomyoma causing pseudoachalasia at the esophagogastric junction by tunnel endoscopy

• Published in: BMC gastroenterology Vol. 16; no. 1; p. 24
• Main Authors: Deng, Bin, Gao, Xue-Feng, Sun, Yun-Yun, Wang, Yuan-Zhi, Wu, Da-Cheng, Xiao, Wei-Ming, Wu, Jian, Ding, Yan-Bing
• Format: Journal Article
• Language: English
• Published: London BioMed Central 25.02.2016; BioMed Central Ltd
• Subjects: Adult; Analysis; Barium Sulfate; Care and treatment; Case Report; Complications and side effects; Consent; Diagnosis, Differential; Dysphagia; Endoscopy; Endoscopy, Digestive System - methods; Esophageal Achalasia - diagnosis; Esophageal Neoplasms - diagnosis; Esophageal Neoplasms - surgery; Esophagogastric junction; Esophagogastric Junction - surgery; Esophagus - diagnostic imaging; Female; Fibroids; Gastroenterology; Gastroesophageal disorders; Hepatology; Humans; Internal Medicine; Leiomyoma; Leiomyoma - diagnosis; Leiomyoma - surgery; Manometry; Medicine; Medicine & Public Health; Motility; Radiography; Studies; Ultrasonic imaging; Leiomyoma; Esophagogastric junction; Pseudoachalasia
• ISSN: 1471-230X; 1471-230X
• DOI: 10.1186/s12876-016-0445-0

Background Pseudoachalasia is a rare disorder whose presentation strongly resembles idiopathic achalasia. Case presentation Here, we present a case of a 42-year-old female patient with esophageal leiomyoma who was initially diagnosed with achalasia. On endoscopical investigation, however, it became apparent that she had pseudoachalasia as consequence of a leiomyoma at the esophagogastric junction (EGJ). The condition was successfully treated through submucosal tunneling endoscopic resection. Conclusion This case suggests that submucosal tunneling endoscopic resection is a therapeutic u option for the treatment of pseudoachalasia caused by leiomyoma of EGJ.