Bensaid J, Doumeix J J, Gueret P, Virot P, Pillegand B, Sautereau D, Descottes B, Catanzano G
Clinique médicale cardiologique, CHU Dupuytren, Limoges.
Arch Mal Coeur Vaiss. 1990 Mar;83(3):419-23.
The authors report the case of a 44 year old man with a giant leiomyoma of the lower third of the esophagus. The patient presented with chest pain and the tumour was detected by echocardiography. The diagnosis was confirmed by computerised tomography and histological examination of the surgical specimen weighing 501.5 g. The surgeon performed a large esophago-gastric resection and reestablished the continuity of the digestive track by interposing a section of colon. A good result was obtained with a follow-up of 4 years. The authors underline the potential value of a simple barium swallow during cardiological assessment.
作者报告了一例44岁男性患有食管下三分之一巨大平滑肌瘤的病例。患者表现为胸痛,肿瘤通过超声心动图检测到。计算机断层扫描和对重501.5克手术标本的组织学检查证实了诊断。外科医生进行了大范围的食管胃切除术,并通过插入一段结肠重建了消化道的连续性。随访4年取得了良好效果。作者强调了在心脏评估期间简单吞钡检查的潜在价值。