Leiomyomas of the esophagus and/or the bronchus have rarely been repor
ted in children. To our knowledge, the simultaneous presence of this t
umor in both the esophagus and a bronchus in a child has not been prev
iously reported. A 7-year old boy presented with respiratory and esoph
ageal symptoms and was found to have a leiomyoma of the esophagus and
right main bronchus. The esophageal leiomyoma was treated with limited
myotomy, but bronchoscopic resection was possible for the bronchial l
esion. The postoperative result was excellent, with normal swallowing
and no residual respiratory problems at 1-year follow-up.