Source:http://linkedlifedata.com/resource/pubmed/id/18299739
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2008-2-26
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pubmed:abstractText |
Esophageal leiomyomatosis is a rare hamartomatous disorder with varied presentation. In the literature, it is described mostly in children, and is associated with Alport's syndrome. A case of leiomyomatosis that presented as achalasia not associated with Alport's syndrome is described in a 35-year-old woman with a 16-year history of dysphagia. Barium swallow showed a smooth narrowing at the lower end of the esophagus with a longer than usual stricture length. Endoscopy showed a dilated esophagus with a submucosal nodule in the region of the cardia. A computed tomography scan revealed circumferential thickening of the esophagus involving the gastroesophageal junction, with fat planes maintained with the adjacent structure. Endoscopic ultrasound demonstrated a lesion arising from the muscularis propria. The manometry findings were suggestive of achalasia. She underwent transhiatal esophagectomy with gastric pull-up. Leiomyomatosis should be considered as a cause of psuedoachalasia in patients with symptoms suggestive of achalasia and atypical barium findings. Attempts should be made to confirm the diagnosis preoperatively using computed tomography and/or endoscopic ultrasound. Esophagectomy is the treatment of choice.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-11923782,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-12368682,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-12397297,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-12813684,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-14601910,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-1559666,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-15937803,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-2681658,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-8668807,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18299739-9926306
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0835-7900
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
187-9
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading | |
pubmed:year |
2008
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pubmed:articleTitle |
Esophageal leiomyomatosis -- an unusual cause of pseudoachalasia.
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pubmed:affiliation |
Department of Gastrointestinal Surgery, AIIMS, New Delhi, India.
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pubmed:publicationType |
Journal Article,
Case Reports
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