Esophageal Leiomyoma Mimicking As Duplication Cyst

Title: Esophageal Leiomyoma Mimicking As Duplication Cyst

Authors: Girish D. Bakhshi, Rajesh G. Chincholkar, Prakash B. Patodekar, Chaitanaya G. Patil, Rajesh B. Yadav, Amarjeet E. Tandur

DOI: https://dx.doi.org/10.18535/jmscr/v5i1.72

Abstract

Esophageal duplication cyst is a rare entity but well documented. Majority of them are usually diagnosed in childhood but adults are more likely to be symptomatic. Endoscopic ultrasound (EUS) is a diagnostic tool of choice to investigate duplication cyst since it can differentiate between solid and cystic component. However, esophageal duplication cyst, due to its solid content can masquerade as leiomyoma or other benign lesions, but it is exceptionally rare where leiomyoma of esophagus presented as homogenous anechoic lesion mimicking a duplication cyst. We present a case which posed a diagnostic dilemma with EUS appearances closely resembling esophageal duplication cyst, whereas CT scan was suggestive of leiomyoma. However intraoperative findings and histopathological examination of specimen confirmed it to be esophageal leiomyoma.

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