[
Abstract]
[
Full Text PDF] （in Japanese / 4269KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 80(7): 651-657, 1979
Original article
LYMPHANGIOMA OF THE ESOPHAGUS PRESENTING SYMPTOMS OF ACHALASIA
－A CASE REPORT－
A case of lymphangioma of the esophagus presenting symptoms of achalasia was presented. A 46 year-old male had increasing dysphagia, general fatigue and occasional vomiting after meals. Upper G-I series showed abnormal dilatation and large folds from the middle to the lower esophagus. Endoscopy revealed three elevated lesions which were whitish yellow and compressible by the tip of the endoscope. The overlying mucosa appeared normal and dark translucent lesions were noted beneath it, however no cystic space was found. Positive Mecholyl test was obtained and the benign submucosal esophageal tumors with achalasia was diagnosed. Under thoracotomy, cavernous and cystic protrusions were found outside of the middle to the lower esophagus. It appeared benign tumors macroscopically. After incisional biopsy, Thal-Hatafuku's fundic patch operation was performed to relive achalasia. Microscopic study showed cavernous lymphangioma which were proliferated in the whole thickness of the esophagus. A few Auerbach's plexuses were noted but were devoid of ganglion cells. The symptoms of Achalasia were cured after the operation. We supposed that the achalasia might be caused by extensive destruction of muscle layers or peripheral vagal nerves by the tumors around the esophago-gastric junction.
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