A Case Report of Esophageal Hemangioma Resected by Opening Opposite Side

Yoshinori Yamashita, Toshihiro Hirai, Takashi Iwata, Shuji Saeki, Akihiro Yoshimoto, Tetsuya Toge, Wataru Yasui*, Takehiro Shimamoto**

Department of Surgery, Research Institute for Nuclear Medicine and Biology, Hiroshima University
*First Department of Pathology
**First Department of Internal Medicine

A case of esophageal hemangioma is described herein. The 52-year-old man had no symptoms. An esophageal tumor was found accidentally in a group examination. A hemangioma of the esophagus was revealed as a round defect by esophagography and a bluish soft tumor on the right wall of the cervical esophagus was also found by esophagoscopy. Through a left neck incision, the left normal esophageal wall on the side opposite the tumor was opened initially. Then, tumor on the right wall was resected completely by mucosectomy including normal esophageal mucosa. The microscopic section revealed a venous hemangioma. His postoperative course was completely uneventful. This method of resection is recommended for a benign tumor located in the submucosal layer as well as a hemangioma of the esophagus in view of its simplicity and safety.

Key words
esophageal hemangioma, mucosectomy

Reprint requests
Yoshinori Yamashita Department of Surgery, Research Institute for Nuclear Medicine and Biology, Hiroshima University
1-2-3, Kasumi, Minami-ku, Hiroshima, 734 JAPAN

Accepted
December 9, 1992

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