PMC3700497_01
Esophagoscopy: Submucosal tumor yellowish in color with normal mucosa arising from the posterior wall of the lower third of the thoracic esophagus.
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Upper gastrointestinal endoscopy revealed a submucosal space-occupying mass with normal mucosa, arising from the posterior wall of the lower third of the thoracic esophagus (Figure 1).
CT study of the chest and uper abdomen revealed a 40x60mm submucosal lesion of the lower third of the thoracic esophagus.
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C. Computed tomography (CT) study of the chest revealed a low-density tissue absorption submucosal lesion measured 40x67 mm and covered by normal mucosa of the lower third of the thoracic esophagus (Figure 2A, 2B). The crura were reapproximated with two figure - of-eight 2/0 silk sutures.
Enucleation of the esophageal tumor after longitudinal incision of the posterior wall of the lower esophagus.
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A carerful enucleation was performed and the lipoma was placed in a specimen bug (Figure 3A-3D).
Macroscopic findings of the esophageal tumor: Yellowish in color adipose tissue-like appearance. 10x7x2.5 cm in size.
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The giant lipoma was extracted through the videoscopy port and it measured 10x7x2.5 cm (Figure 4).
Postoperative esophageal x- ray using gastrografin swallow.
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The postoperative course was uneventful, and the patient was discharged on the 4th postoperative day after a gastrogafin pass to assess the integrity of the esophageal wall (Figure 5).
Upper gastrointestinal endoscopy three months after the operation showed a normal esophageal mucosa with good antireflux valve.
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Upper gastrointestinal endoscopy three months after the operation showed a normal esophageal mucosa with good antireflux valve (Figure 6).