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Slipped Liver Segment Mimicking an Esophageal Stromal Tumor

  • Ignacio Fuente
  • Demetrio Cavadas
  • Calderon Francisco
  • Ines Oria
  • Axel Beskow
  • Fernando Wright
GI Image
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Case Report

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...

Keywords

Recurrent hiatal hernia Esophageal stromal tumor Hepatic herniation 

Notes

Authors’ Contribution

All authors have contributed to the design of the work, data acquisition and analysis data, revision for important intellectual content, and final approval of the version to be published.

References

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    Ulla M, Gentile EM, Cavadas D, Yeyati EL, Frank L, Argerich JI, Garcia Mónaco R. Esophageal cancer characterization with pneumo-64-MDCT. Abdom Imaging. 2012;37:501–511.CrossRefPubMedGoogle Scholar
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    Săftoiu A. Endoscopic ultrasound-guided fine needle aspiration biopsy for the molecular diagnosis of gastrointestinal stromal tumors: shifting treatment options. J Gastrointestin Liver Dis. 2008 Jun;17(2):131–3.PubMedGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  1. 1.General Surgery DepartmentHospital Italiano de Buenos AiresBuenos AiresArgentina

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