PMC3015438_01
Barium swallow with filling defect.
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F1
After a negative cardiac workup, he had a barium swallow that revealed an extraluminal filling defect 3 cm proximal to the gastroesophageal junction (Figure 1).
EGD view.
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F2
He subsequently underwent an esophagogastroduodenoscopy that demonstrated a benign extraluminal tumor consistent with an esophageal leiomyoma (Figure 2).
Operating room set up.
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F3
A single "hand" (Dexterity Pneumosleeve Blue Bell, PA) port was used in the right upper quadrant, a 10-mm midline port for the camera, a 10-mm left subcostal lateral clavicular line port, and a 10-mm left mid clavicular line port (Figure 3).
Laparoscopic view of leiomyoma.
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F4
As the dissection proceeded with the harmonic scalpel (Ethicon Endosurgery, Cincinnati, OH), the leiomyoma was gently removed with caution from the esophageal wall so as not to injure the esophagus (Figure 4).