Mustafa KÜPELİ, İrfan YALÇINKAYA, Hakan KIRAL

Özofagusun multipl dev leiomyomları

Akciğer grafisinde tesadüfen saptanan multipl dev özofageal leiomyom olgusu sunuldu. Sağ torakotomi ile özofagus kas tabakasındaki biri 10x4.5x2 cm boyutlarında 4 adet büyük ve çok sayıda küçük kapsüllü kitleler enükleasyonla total olarak eksize edildi. Leiomyomlar bazen multipl ve çok büyük olmalarına rağmen asemptomatik olabilirler. Bu tip olgularda torakotomi ile enükleasyon uygun bir cerrahi seçenektir. Özofagusun kas tabakasının kapatılması, ameliyat sonrası komplikasyonların engellenmesi için tavsiye edilmektedir.

Multiple giant leiomyomas of the esophagus

We present this patient with multiple giant esophageal leiomyoma, which was accidently diagnosed by chest X-ray, due to its very rare and interesting nature. Four big masses, including one that was 10x4.5x2 cm, and many small encapsulated masses in the muscle layer of esophagus were enucleated and totally excised via a right thoracotomy. Leiomyomas can be asymptomatic, even though they are multiple and very big size. In such cases, enucleation via thoracotomy is an appropriate choice. Closure of the esophageal muscle layer is advised to prevent the postoperative complications.

PDF

___

1. Facktor MA, Katlic MR. Benign tumors, cysts, and duplications of the esophagus. In: Schields TW, LoCicero III J, Reed CE, Feins RH, editors. General thoracic surgery. China: Wolters Kluwer, LW & W; 2009. p. 1973-82.
2. Aurea P, Grazia M, Petrella F, Bazzocchi R. Giant leiomyoma of the esophagus. Eur J Cardiothorac Surg 2002;22:1008-10.
3. Priego P, Lobo E, Alonso N, Gil Olarte MA, Pérez de Oteyza J, Fresneda V. Surgical treatment of esophageal leiomyoma: an analysis of our experience. Rev Esp Enferm Dig 2006;98:350-8.
4. Roviaro GC, Maciocco M, Varoli F, Rebuffat C, Vergani C, Scarduelli A. Videothoracoscopic treatment of oesophageal leiomyoma. Thorax 1998;53:190-2.
5. Mutrie CJ, Donahue DM, Wain JC, Wright CD, Gaissert HA, Grillo HC, et al. Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg 2005;79:1122-5.
6. Karagülle E, Akkaya D, Türk E, Göktürk HS, Yildirim E, Moray G. Giant leiomyoma of the esophagus: a case report and review of the literature. Turk J Gastroenterol 2008;19:180-3.
7. Tay YC, Ng CT, Lomanto D, Ti TK. Leiomyoma of the oesophagus managed by thoracoscopic enucleation. Singapore Med J 2006;47:901-3.