贲门失弛缓症或假性贲门失弛缓症：经口内镜下肌切开术中偶然发生的食管胃交界处粘膜下平滑肌瘤。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-05-16 eCollection Date: 2025-05-01 DOI:10.14309/crj.0000000000001709

Kenan Rahima, Mohamad Hijazi, Mhd Kutaiba Albuni, Sogand Taheri, Venkata Muddana

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引用次数: 0

摘要

食管贲门失弛缓症和食管胃交界粘膜下平滑肌瘤的合并是非常罕见的。经口内窥镜下肌切开术已被认可为治疗食道失弛缓症的主要干预措施之一。我们报告了一名49岁的女性，她进行了初步的内镜评估和诊断为II型贲门失弛缓症，然后进行了经口内镜下肌切开术，发现在食管胃交界处远端1厘米处有偶然的粘膜下平滑肌瘤。经粘膜下隧道内镜切除成功。这就提出了一个问题，是否这是一个缓弛缓症或假性缓弛缓症引起的平滑肌瘤的情况下。

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Achalasia or Pseudoachalasia: Incidental Esophagogastric Junction Submucosal Leiomyoma During Peroral Endoscopic Myotomy.

The concomitant presence of esophageal achalasia and esophagogastric junction submucosal leiomyoma is extremely rare. Peroral endoscopic myotomy has been endorsed as one of the primary interventions to manage esophageal achalasia. We present a 49-year-old woman who had initial endoscopic evaluation and diagnosis of achalasia type II then underwent peroral endoscopic myotomy and found to have incidental submucosal leiomyoma at 1 cm distal to esophagogastric junction. It was removed successfully by submucosal tunneling endoscopic resection. This poses the question of whether this is a case of achalasia or pseudoachalasia caused by leiomyoma.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.