Esophageal hemangiomas are rare though potentially lethal tumors owing to their highly vascular composition. Hemangioma-lymphangiomas are an even rarer tumor subset with few reported cases. While many such tumors can be conservatively managed and observed, treatment may be indicated for certain symptoms such as dysphagia or bleeding. We present a report of a 61-year-old Hispanic man with symptoms of fatigue and anemia who was found to have a large mixed cavernous hemangioma-lymphangioma extending from the carina to the gastroesophageal junction. This patient underwent an Ivor Lewis esophagectomy with excellent results.