Endoscopic Resection of a Giant Esophageal Lipoma Causing Sudden Choking.
10.4166/kjg.2016.68.4.210
- Author:
Dong Ho JO
1
;
Hyung Ku CHON
;
Sun Ho WOO
;
Tae Hyeon KIM
Author Information
1. Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. jipsinsa@naver.com
- Publication Type:Case Report
- Keywords:
Esophagus;
Lipoma;
Endoscopy
- MeSH:
Airway Obstruction*;
Deglutition Disorders;
Endoscopy;
Endoscopy, Gastrointestinal;
Esophagus;
Female;
Humans;
Lipoma*;
Middle Aged;
SNARE Proteins;
Ultrasonography
- From:The Korean Journal of Gastroenterology
2016;68(4):210-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
Most esophageal lipomas are discovered incidentally and are small and asymptomatic. However, large (>4 cm) lipomas may cause various symptoms, including dysphagia, regurgitation, or epigastric discomfort. We present a 45-year-old woman with intermittent sudden choking and globus pharyngeus. Upper gastrointestinal endoscopy and endoscopic ultrasound revealed an approximately 10.0×1.5 cm pedunculated subepithelial tumor in the upper esophagus, identified as the cause of her symptoms. A thoracic computed tomography scan revealed a fat attenuated longitudinal mass along the upper esophagus, suggestive of a lipoma. Endoscopic resection of the lesion was performed with a detachable snare to relieve her symptoms, and the pathologic findings were consistent with a lipoma.
