Management of an esophagopleural fistula after resection of giant submucosal tumor of the cardia.

Abstract

A 24-year-old woman was admitted with a large mass derived from the muscularis propria of the esophagus and the cardia. Submucosal tunneling endoscopic resection was performed. The size of the specimen was 10 × 10 cm, and the postoperative pathology was leiomyoma with red degeneration. After the tumor was removed, a huge tunnel cavity was left. We used metal clips to clamp the tunnel entrance ([Video 1]).