Giant esophageal lipoma: complicated surgical treatment (case report)
Clinical Practice
Justina Katinaitė
Žymantas Jagelavičius
Algis Kybartas
Vygantas Gruslys
Ričardas Janilionis
Published 2017-03-23
https://doi.org/10.15388/LietChirur.2017.1.10496
PDF

Keywords

dysphagia
esophageal lipoma
esophagotomy
mediastinitis
esophagopleural fistula

How to Cite

1.
Katinaitė J, Jagelavičius Žymantas, Kybartas A, Gruslys V, Janilionis R. Giant esophageal lipoma: complicated surgical treatment (case report). LS [Internet]. 2017Mar.23 [cited 2022Dec.5];16(1):75-0. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/10496

Abstract

Background
Lipomas are distinctly uncommon benign tumours of the esophagus. Lipoma and other benign tumours should be consid­ered for patients admitted to the hospital with non-specific complaints of upper gastrointestinal tract disease. Radiological and endoscopic suspicion of a tumour with benign histology and correct preoperative histological diagnosis are important factors in order to choose the best surgical treatment option.

Case report
A 59-year-old woman was admitted with dysphagia lasting for about 1.5 months. Endoscopy and computed tomography scan revealed intraluminal pedunculated submucosal mass, 13 cm in length and 2 cm in diameter, –67 Hounsfield units in density, suggesting esophageal lipoma to be the most likely diagnosis. Tumour was excised through right lateral thoracotomy with esophagotomy. Barium esophagogram in the postoperative period showed esophageal leakage, hence rethoracotomy was performed and the defect was attempted to close by sutures. Repeated barium esophagogram revealed persisting evidences of esophageal leakage so biodegradable coated 10 cm in length and 31/25/31 mm in diameter SX-ELLA stent was used and successfully sealed the leakage.

Conclusion
Giant esophageal lipoma is a rare benign esophageal tumour causing dysphagia. Open surgery is the best treatment option for giant esophageal lipomas. However, postoperative complications such as esophageal leakage are common in patients after open esophageal surgery. Biodegradable stent could be successfully used dealing with persistent esophageal leakage.

PDF

Please read the Copyright Notice in Journal Policy

Most read articles by the same author(s)

1 2 > >>