Leiomyoma of the Oesophagus

Intraopearative video during left mini thoracocotomy through the bed of the 8th rib (i.e. the 7th intespace) for resection of an oesophageal leiomyoma (benign tumor of the oesophagus, aka ‘gullet’), measuring 3.1 x 2.6 x 2.5 cm in a 23-yo male smoker's case (4 pack–yrs) with a 4–month history of vomiting.

A red loop is passed around the Oesophagus. The patient's beating heart can be seen at the lower left of the video. The patient's left hemidiaphragm is seen at the lower right of the video.

Preop diagnosis was established by oesophagoscopy, chest CT and EUS.

Further medical images of this very case (images #1-5) can also be seen on this webpage.

Bronchogenic Cyst MIMICKING Leiomyoma

Intraopearative video during left lateral thoracocotomy through the bed of the 8th rib (i.e. the 7th intespace) for resection of a Large esophageal Mass, measuring ~6.5 cm, in a 52–yo male smoker's case (15 pack–yrs). The patient had a 5–month history of gastric bloating without any correlation with meals. Preoperative investigations had shown that the mass was located inside the muscular layers of the esophagus, as usually seen in leiomyomas' cases.

A loop is passed around the Oesophagus. The large oesophageal mass is shown by a pair of forceps during the intraoperative video. The patient's beating heart can be seen at the upper right of surgical field on the video. The patient's left hemidiaphragm is seen at the lower left of the video.

Preop diagnosis was attempted by oesophagoscopy, chest CT scanning and barium swallow. Postoperative histopathology has proven that the mass was a mediastinal ‘Bronchogenic Cyst’, internally lined by ciliated respiratory epithelium and filled by thick mucus.

Further medical images of this case can be seen during the last part of the video below (‘Preoperative Images’ part follows the intraoperative footage).

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