Thomas L A, Balaratnam N, Richards D G, Duane P D
Department of Gastroenterology, Morriston Hospital, Swansea, UK.
Dis Esophagus. 2000;13(2):165-8. doi: 10.1046/j.1442-2050.2000.00106.x.
The patient was a 22-year-old woman who had presented in early childhood with gastroesophageal reflux and who subsequently underwent surgery. It was commented upon by the surgeons at that time that the esophagus was abnormally thickened. The patient subsequently presented during her first pregnancy with a vulval tumor, which proved histologically to be a leiomyoma. She was also found to have a grossly dilated esophagus and was thought to have achalasia. However, endoscopic ultrasound imaging showed gross hypertrophy of the mid- and distal esophageal wall, with only mild symptoms of dysphagia, which had been long-standing. The appearance of the esophagus was consistent with diffuse esophageal leiomyomatosis. In view of the associated vulval leiomyoma, the patient demonstrated esophagovulvar syndrome.
该患者为一名22岁女性，自幼患有胃食管反流，随后接受了手术。当时外科医生指出食管异常增厚。该患者在首次怀孕时出现外阴肿瘤，组织学检查证实为平滑肌瘤。还发现她食管明显扩张，被认为患有贲门失弛缓症。然而，内镜超声成像显示食管中下段壁明显肥厚，仅有长期存在的轻度吞咽困难症状。食管外观符合弥漫性食管平滑肌瘤病。鉴于伴有外阴平滑肌瘤，该患者表现为食管外阴综合征。
