Giant leiomyoma of the esophagus

A patient with a giant leiomyoma of the esophagus (1235 g) presented with persistent cough, intermittent fever, nocturnal pyrosis, and intermittent dysphagia for solid foods. Reconstruction after extirpation of the distal esophagus, the tumor, and the proximal stomach involved a Collis gastroplasty and a Nissen fundoplication using stapling technique. This combination of operations after resection was used to assure the best functional result possible in a young man with benign disease.