Slipped Liver Segment Mimicking an Esophageal Stromal Tumor
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A 36-year-old female patient with past medical history of a hiatal procedure in the neonatal period (which was not described in her medical history) for hiatal hernia was referred to our institution for thoracic pain. Abdominal examination was unremarkable. Initially, clinical tests (ECG and echocardiogram) were performed, ruling out cardiac pathology. Barium esophagram was carried out evidencing a slight filling defect on the distal third of the esophagus with no evidence of recurrent hiatal hernia. A CT scan with distention technique (PnCT) revealed a homogeneous 39 × 26 mm lesion located on the distal esophagus consistent with a submucosal tumor (Fig. 1). An upper gastrointestinal endoscopy showed no organic lesion on the mucosa. Due to the suspicion of esophageal stromal tumor, we executed an endoscopic ultrasound (EUS) which revealed a well circumscribed, hipoechoic, relatively homogeneous mass arising apparently from the fourth layer of the esophagus. The case was...
KeywordsRecurrent hiatal hernia Esophageal stromal tumor Hepatic herniation
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© The Society for Surgery of the Alimentary Tract 2018