Gastroesophageal junction leiomyoma

Case contributed by Dr Michael P Hartung

Presentation

Abdominal pain and reflux.

Patient Data

Age: 30
Gender: Male

Smooth, circumferential, masslike thickening of the gastroesophageal junction with intermediate attenuation. 

Case Discussion

This was an alarming finding in young patient. Despite his young age, GIST and adenocarcinoma also were of concern. The increased attenuation of the circumferential thickening indicates a soft tissue neoplasm, not submucosal edema such as seen in peptic ulcer disease (example here). Endoscopic biopsy revealed leiomyoma. 

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Case information

rID: 59038
Published: 18th Mar 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Ascension Healthcare

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