Background

This is a video submission detailing the discovery of an esophageal leiomyoma incidentally found during a robotic hiatal hernia repair and Roux-en-Y gastric bypass. The mass is seen in the distal esophagus during mediastinal dissection. On intraoperative EGD, there was no intraluminal component. The mass was carefully dissected from the esophageal wall, and the defect was closed with interrupted silk sutures. This case highlights the importance of thorough intraoperative exploration and the subsequent management of an esophageal leiomyoma within the context of elective bariatric surgery.