LAUSR

An 80-year-old man presented with a subepithelial lesion in the middle esophagus (▶Fig. 1). He reported no significant discomfort. His medical history was unremarkable. Physical examination revealed no significant abnormalities. Endoscopic ultrasonography (EUS) with a miniprobe revealed a soft lesion without motion. The esophageal wall was normal, with anechoic tubular structure outside the wall (▶Fig. 2). Doppler sonography suggested an abnormal artery communicating with the aorta (▶Fig. 3, ▶Video 1). Enhanced computed tomography (CT) confirmed the tortuous and dilated bronchial artery, which was causing esophageal compression (▶Fig. 4). Thus, the patient was diagnosed with abnormal bronchial artery mimicking esophageal submucosal tumor. As the Video 1 Endoscopic ultrasonography with a miniprobe revealed a soft lesion without motion. The esophageal wall was normal, with anechoic tubular structure outside the wall. Doppler sonography suggested an abnormal artery communicating with the aorta. ▶ Fig. 1 A subepithelial lesion (arrows) in the middle esophagus.