Korean J Gastroenterol.
2016 Oct;68(4):210-213. 10.4166/kjg.2016.68.4.210.
Endoscopic Resection of a Giant Esophageal Lipoma Causing Sudden Choking
- Affiliations
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- 1Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. jipsinsa@naver.com
- KMID: 2383517
- DOI: http://doi.org/10.4166/kjg.2016.68.4.210
Abstract
- Most esophageal lipomas are discovered incidentally and are small and asymptomatic. However, large (>4 cm) lipomas may cause various symptoms, including dysphagia, regurgitation, or epigastric discomfort. We present a 45-year-old woman with intermittent sudden choking and globus pharyngeus. Upper gastrointestinal endoscopy and endoscopic ultrasound revealed an approximately 10.0×1.5 cm pedunculated subepithelial tumor in the upper esophagus, identified as the cause of her symptoms. A thoracic computed tomography scan revealed a fat attenuated longitudinal mass along the upper esophagus, suggestive of a lipoma. Endoscopic resection of the lesion was performed with a detachable snare to relieve her symptoms, and the pathologic findings were consistent with a lipoma.
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