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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Related Experiment Video

Updated: May 30, 2026

Robotic Enucleation of Esophageal Leiomyoma
04:19

Robotic Enucleation of Esophageal Leiomyoma

Published on: February 20, 2026

Pediatric esophageal leiomyosarcoma: a case report.

Wen-xian Wang1, Desai Gaurav, Li Wen

  • 1Department of Radiology, XinQiao Hospital, Third Military Medical University, ChongQing 400037, PR China.

Journal of Pediatric Surgery
|August 17, 2011
PubMed
Summary

This is the first reported case of esophageal leiomyosarcoma in a child. The pediatric tumor grew rapidly but was successfully treated with surgery, showing no signs of recurrence after 3 years.

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Area of Science:

  • Pediatric Oncology
  • Gastrointestinal Pathology

Background:

  • Esophageal leiomyosarcoma is a rare esophageal tumor, typically affecting middle-aged or elderly individuals.
  • Pediatric esophageal leiomyosarcomas have not been previously documented in medical literature.

Observation:

  • A pediatric patient presented with mild cough and a rapidly growing esophageal mass (7.0 cm × 5.0 cm × 6.0 cm over 3 months).
  • Computed tomography revealed mild enhancement post-contrast, with more evident enhancement on delayed scans.

Findings:

  • This case represents the first documented instance of esophageal leiomyosarcoma in a pediatric patient.
  • The tumor exhibited unique characteristics in this young patient.
  • Surgical resection via the Phemister operation (transthoracic esophagectomy and esophagogastrostomy) was performed.

Implications:

  • This report expands the known demographic for esophageal leiomyosarcoma to include pediatric patients.
  • Highlights the possibility of rapid growth and successful surgical management in pediatric cases.
  • Suggests that esophageal leiomyosarcoma, though rare, should be considered in the differential diagnosis of pediatric esophageal masses.