Esophageal Leiomyomatosis Diagnosed by Endoscopic Ultrasound

Figure 1 Endoscopic ultrasound showed multifocal wall thickness of varying size (1 - 3 cm) originating from the muscularis propria layer, in a 39-year-old lady presenting with dysphagia and regurgitation that had been slowly progressive for 10 years. Barium swallow showed irregularity in the lower two-thirds of esophagus. Nodularity of the esophagus with tortuosity was found at endoscopy. Compare the size of the esophagus with the adjacent aorta.

Figure 2 Esophagectomy was done and histopathological investigation revealed esophageal leiomyomatosis. The resected esophagus had multiple stromal tumors of varying sizes. The patient is now symptom-free.

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