A 53-year old male presented with with symtoms of gastro-oesophageal reflux. Endoscopy confirmed features of oesophagits above a sliding hiatus hernia. Within the hiatus hernia is a smooth rounded rounded swelling thought initially to be a leiomyoma. Mucosal biopsies were normal, but endoscopic ultrasonography showed an extensive lesion both extra as well as intragastric. The lesion was resected and histology showed a leiomyosarcoma.
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