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Esophageal leiomyomatosis

M S Levine1, J L Buck, L Pantongrag-Brown

  • 1Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.

Radiology
|May 1, 1996
PubMed
Summary

Esophageal leiomyomatosis, a rare condition, often presents with dysphagia in children. Radiologic findings like distal esophageal narrowing on barium studies and wall thickening on CT scans can suggest this diagnosis.

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Area of Science:

  • Gastroenterology
  • Pediatric Radiology
  • Oncology

Background:

  • Esophageal leiomyomatosis is a rare benign smooth muscle tumor.
  • Early diagnosis is crucial for effective management.

Purpose of the Study:

  • To review clinical and radiologic findings in pediatric patients with esophageal leiomyomatosis.
  • To identify key diagnostic features for this condition.

Main Methods:

  • Retrospective review of clinical data and radiologic images from six pediatric patients.
  • Analysis of barium studies and computed tomography (CT) scans.

Main Results:

  • The average patient age was 10.8 years, with five presenting with dysphagia.
  • Barium studies showed distal esophageal narrowing in five patients.

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  • CT revealed esophageal wall thickening in two patients.

    • Conclusions:

    • Esophageal leiomyomatosis can be suspected in pediatric patients with dysphagia.
    • Key imaging findings include distal esophageal narrowing on barium studies and wall thickening on CT.