A rare case of dysphagia secondary to a large oesophageal lipoma

Koh KS, Chong VH, Yapp SKS, Chong CF.

Med J Malaysia. 2012; 67(5):522-3.

SUMMARY

Dysphagia is considered a warning symptom that requires exclusion of significant pathology such as

oesophageal cancer, especially in elderly patients. Benign neoplasms of the oesophagus are rare. We report the case of a 69-year-old lady who presented with a five years history of infrequent intermittent dysphagia that had rapidly progressed over one month. This was associated with globus sensation, weight loss, intermittent episodes of stridor and aspiration pneumonia. Investigations revealed a large oesophageal lipoma in the proximal oesophagus extending down to the lower oesophagus. This was successfully resected via a left cervical approach. She remained well two years after the surgery.

Correspondence: Chong VH. Division of Gastroenterology and Hepatology, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam. E mail: chongvuih@yahoo.co.uk

Article is available from the journal website at http://www.e-mjm.org/2012/v67n5/dysphagia.pdf