ArticleACG case reports journal2026
Early Esophageal Wall Abscess After Submucosal Tunneling Endoscopic Resection of an Esophageal Leiomyoma Successfully Managed by Clip Removal and Targeted Antibiotic Therapy.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 24-year-old man with progressive dysphagia underwent submucosal tunneling endoscopic resection for a mid-esophageal leiomyoma. Within 24 hours, he developed chest pain, fever, tachycardia, and subcutaneous emphysema. CT showed bilateral pneumothorax and a periesophageal collection, and endoscopy revealed purulent discharge from the closure site. Clip removal allowed drainage, broad-spectrum antibiotics were started, and a nasojejunal tube was placed. He recovered fully with resolution of the pneumothorax, emphysema, and abscess. Follow-up endoscopy showed healed pseudodiverticula. This case highlights a rare early postsubmucosal tunneling endoscopic resection esophageal wall abscess and the value of timely recognition and endoscopic management.
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