Leiomyomaso f the esophagus are known to be a slow-growing tumors with low malignant potential. Occasionally these leiomyomas grow larger and present as tumors greater than 10 cm in diameter, and then they are called giant leiomyomas of the esophagus. Giant leiomyomas of the esophagus may present as a mediastinal mass.

1. A CASE REPORT ON
LAPAROSCOPIC
ESOPHAGEAL LEIOMYOMA
ENUCLEATION
DR PREMANANDA PATNAIK
DR DEBASHIS NANDA

2. PATIENT PROFILE
NAME : XXXX XXXX
AGE : 48YRS
SEX : FEMALE
OCCUPATION : HOME-MAKER
ADDRESS : MEDINAPORE, WEST BENGAL
CHIEF COMPLAINTS : PAIN IN THE CENTRAL CHEST, FREQUENT
NAUSEA, DYSPHAGIA TO SOLIDS, LOSS OF APPETITE X 60 DAYS

3. HISTORY OF PRESENTING
ILLNESS
PATIENT WAS APPARENTLY ALRIGHT 2 MONTHS BACK. THEN SHE STARTED
DEVELOPPING PAIN BEHIND THE STERNAL REGION WHICH WAS OF SHARP
SHOOTING TYPE, INITIALLY 2-3 TIMES PER DAY, LATER BECAME VERY
FREQUENT.
PATIENT SLOWLY DEVELOPPED DYSPHAGIA TO SOLIDS.
SHE HAD FREQUENT EPISODES OF NAUSEA THROUGH OUT THE DAY,
AGGRAVATED BY FFOD INTAKE.
SHE VISITED MULTIPLE HOSPITALS FOR THE ABOVE COMPLAINTS & FINALLY
CAME TO HI-TECH MEDICAL COLLEGE & HOSPITAL, BHUBANESWAR WHERE
SHE WENT THROUGH MULTIPLE INVESTIGATIONS INCLUDING UGIE.

8. WITH THE DIAGNOSIS OF DISTAL ESOPHAGEAL LEIOMYOMA, THE PATIENT WAS
ADMITTED TO THE GASTROSURGERY DEPARTMENT ON 2ND DECEMBER, 2023.
HRCT THORAX WAS DONE AND THE REPORT WAS AS FOLLOWS👇🏻

9. RELEVANT PAST HISTORY
APART FROM THE AFORESAID HISTORIES, PT DID NOT HAVE ANY
SIGNIFICANT MEDICAL OR SURGICAL PAST HISTORIES.

10. DETAILS OF THE
SURGERICAL PROCEDURE
PERFORMED
• IT WAS DECIDED TO TAKE THE LAPAROSCOPIC
APPROACH TO REACH THE DISTAL 3RD OF ESOPHAGUS
&
THE CTVS TEAM WAS KEPT ON STANDBY
IN CASE OF NEED FOR MEDIAL STERNOTOMY.
• PATIENT UNDERWENT LAPAROSCOPIC ESOPHAGEAL
LEIOMYOMA ENUCLEATION ON 5TH DECEMBER, 2023.

15. POST OP DETAILS
1. Methylene blue dye test was done on post op day-2 and the drain
was observed for bluish colour change. The test was negative
suggesting no esophageal lumen injury.
2. Gastrograffin esophagogram was done on post op day-3 which
showed no leak.
3. Liquid diet was started from post op day -3 and soft diet was
started from post op day-4.
4. Solid diet was started from post op day -7 and patient was
discharged on post op day -8.

16. PATIENT’S PICTURE
TAKEN IN THE WARD
ON POD-7 AFTER TAKING
PROPER
CONSENT FROM THE
PATIENT AND THE
RELATIVES