Pérez Corzo Héctor Joaquín, Romero Suárez Angélica Katherine, Salgado Salas Roberto Esau, Nieto Segura Felipe, Verboonen Sotelo José Sergio, Romero Manzano Jeffry, Guzmán Barba José Aldo, Esparza Estrada Isaac
Renew Bariatrics, Bariatric Surgery Department, Tijuana, Baja California, Mexico.
Obesity Goodbye Center, Bariatric Surgery Department, Tijuana, Baja California, Mexico.
J Surg Case Rep. 2023 Jan 10;2023(1):rjac626. doi: 10.1093/jscr/rjac626. eCollection 2023 Jan.
Obesity is a chronic disease with pandemic levels of prevalence worldwide. The most often performed bariatric procedure is sleeve gastrectomy. Although the patient's history may not indicate preoperative imaging studies, coincidental findings of unexpected pathology are not uncommon, such as leiomyoma. A 41-year-old female was scheduled to laparoscopic gastric sleeve with no contraindications for surgery. A tumor-like mass was identified on the left lateral face of the distal third of the esophagus. Trans-surgical endoscopy and pneumatic test were performed to rule out any type of communication. The surgeon managed to remove the tumor mass, that was sent to histopathological study, and concluded the procedure without complications. Benign tumors of the esophagus are rarely found lesions. Occasionally unexpected findings may occur during surgery, and they should be resolved intraoperatively when possible to allow the completion of the originally planned surgical procedure.
肥胖是一种在全球范围内流行程度极高的慢性疾病。最常施行的减肥手术是袖状胃切除术。尽管患者病史可能未提示术前进行影像学检查，但意外病理情况的偶然发现并不罕见，比如平滑肌瘤。一名41岁女性计划接受腹腔镜袖状胃切除术，无手术禁忌证。在食管远端三分之一的左侧面发现一个肿瘤样肿块。进行了经手术内镜检查和气密试验以排除任何类型的瘘管。外科医生成功切除了肿瘤肿块，并将其送去做组织病理学研究，手术顺利完成，无并发症。食管良性肿瘤是罕见病变。手术中偶尔可能会出现意外发现，应尽可能在术中解决，以便完成原本计划的手术程序。
