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Case Reports in Surgery
Volume 2016, Article ID 7453259, 5 pages
http://dx.doi.org/10.1155/2016/7453259
Case Report

Video Assisted Thoracoscopic Surgical Enucleation of a Giant Esophageal Leiomyoma Presenting with Persistent Cough

1Government Cancer Hospital, Aurangabad, India
2Department of General Surgery, SBH Government Medical College, Dhule, India
3Asian Institute of Oncology, Mumbai, India

Received 13 September 2015; Revised 10 December 2015; Accepted 17 December 2015

Academic Editor: Christophoros Foroulis

Copyright © 2016 Parvez Mujawar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Esophageal leiomyoma is a relatively rare tumor of esophagus but it is the most common benign neoplasm of the esophagus. Small esophageal leiomyoma can be observed but larger ones and those producing symptoms should be excised. As observed for other esophageal tumors, dysphagia is its main symptom. Traditionally, open thoracotomy and enucleation are its main treatment but in the last few years video assisted thoracoscopic surgical (VATS) enucleation is gaining recognition with proven advantages of minimally invasive surgery. Herein we present our experience with patient presenting with cough rather than dysphagia as a main symptom, who was diagnosed to be having giant esophageal leiomyoma. VATS guided enucleation was accomplished successfully. Size of lesion was  cm. Postoperative recovery was uneventful and patient is not having any signs of recurrence, after three years during follow-up period.