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J Chest Surg

Published online March 24, 2021

Copyright © Journal of Chest Surgery.

Pseudomyogenic Hemangioendothelioma Involving the Esophagus

Abdul-Rahman Fadi Diab, M.D.1 , Salam Saleh Daradkeh, M.D.1 , Alaa Mohammed Hassouneh M.D.1 , Ali Mousa Alabbadi2

Departments of 1Surgery and 2Pathology, University of Jordan, Amman, Jordan

Correspondence to:Abdul-Rahman F. Diab
Tel 962-796226060
Fax 962-65358376
E-mail abd0138639@ju.edu.jo
ORCID https://orcid.org/0000-0002-6322-4402

Received: December 14, 2020; Revised: January 20, 2021; Accepted: February 9, 2021

Abstract

Herein, we describe the case of a 20-year-old woman who presented with dysphagia of 2 months’ duration associated with vomiting, moderate abdominal pain, decreased oral intake, and significant weight loss. During the past 3 years, the patient experienced intermittent mild abdominal pain with infrequent vomiting. Endoscopy at Jordan University Hospital showed a mass in the esophagus, and endoscopic biopsies were performed. The preliminary histopathological report excluded malignancy. Two days after endoscopy, the patient presented to the emergency department complaining of severely worsening pain and total dysphagia. The pain persisted despite intravenous paracetamol administration, which was concerning for esophageal perforation; therefore, an urgent surgical intervention was performed. The mass was removed surgically, along with a para-esophageal lymph node. The final histopathological results of the endoscopic and resected specimens supported the diagnosis of pseudomyogenic hemangioendothelioma (PMHE). This is the first case reporting esophageal involvement of PMHE.

Keywords: Hemangioendothelioma, Vascular neoplasms, Deglutition disorders, Esophageal neoplasms, Lymphadenopathy

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J Chest Surg

Published online March 24, 2021

Copyright © Journal of Chest Surgery.

Pseudomyogenic Hemangioendothelioma Involving the Esophagus

Abdul-Rahman Fadi Diab, M.D.1 , Salam Saleh Daradkeh, M.D.1 , Alaa Mohammed Hassouneh M.D.1 , Ali Mousa Alabbadi2

Departments of 1Surgery and 2Pathology, University of Jordan, Amman, Jordan

Correspondence to:Abdul-Rahman F. Diab
Tel 962-796226060
Fax 962-65358376
E-mail abd0138639@ju.edu.jo
ORCID https://orcid.org/0000-0002-6322-4402

Received: December 14, 2020; Revised: January 20, 2021; Accepted: February 9, 2021

Abstract

Herein, we describe the case of a 20-year-old woman who presented with dysphagia of 2 months’ duration associated with vomiting, moderate abdominal pain, decreased oral intake, and significant weight loss. During the past 3 years, the patient experienced intermittent mild abdominal pain with infrequent vomiting. Endoscopy at Jordan University Hospital showed a mass in the esophagus, and endoscopic biopsies were performed. The preliminary histopathological report excluded malignancy. Two days after endoscopy, the patient presented to the emergency department complaining of severely worsening pain and total dysphagia. The pain persisted despite intravenous paracetamol administration, which was concerning for esophageal perforation; therefore, an urgent surgical intervention was performed. The mass was removed surgically, along with a para-esophageal lymph node. The final histopathological results of the endoscopic and resected specimens supported the diagnosis of pseudomyogenic hemangioendothelioma (PMHE). This is the first case reporting esophageal involvement of PMHE.

Keywords: Hemangioendothelioma, Vascular neoplasms, Deglutition disorders, Esophageal neoplasms, Lymphadenopathy

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