Esophageal fibrovascular polyp protruding from the mouth

Iriarte, G.; Báez, Johnder; Gómez, Javier Patiño; Valdez, E; López, Santos Guzmán; Guarner, Vicente

doi:10.1093/dote/10.1.69

Cited by 11 publications

(12 citation statements)

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“…The lack of muscular support, the changes in the normal mucosa tension and the peristaltic forces generated during deglutition by the hypopharinx and esophagus may all contribute to mucosal polypoid degeneration. 5 While esophageal inflammatory fibrovascular polyps are usually found proximal to the cervical esophagus, only extremely rare cases have been reported at mid-esophageal localization. 6 However in our case the polyps were shown in the thoracic esophagus.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Inflammatory Polyp and Accompanying Diverticulum: Report of a Case and Review of the Literature

Erdoğan¹,

Coşan²,

Gelen³

et al. 2011

Turkiye Klinikleri J Med Sci

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221sophageal benign tumors, like polyps, are very rare and usually asymptomatic. They are diagnosed only when their size induces dysphagia.1 Esophageal polyps together with esophageal diverticulum are both extremely rare and sporadic. Esophageal polyps almost always originate from the cervical esophagus, usually at the level of the upper esophageal sphincter. In medical literature, it is hard to define the actual prevalence of esophageal polyps since the occurrence of benign esophageal tumors is less than 1% according to autopsy studies dating back to 1968.2 Simultaneous esophageal polyps and esophageal diverticulum has not yet been reported in the literature. We report a new sporadic and very interesting Esophageal Inflammatory Polyp and Accompanying Diverticulum: Report of a Case and Review of the Literature A AB BS S T TR RA AC CT T Simultabeous polyps and di ver ti cu lum of the esop ha gus has been ex tre mely rarely reported in the me di cal li te ra tu re. We re port a 38-ye ars-old fe ma le comp la i ning of in ter mit tent dyspha gi a and ody nop ha gi a. A ba ri um me al study sho wed an esop ha ge al di ver ti cu lum. Fi be rop tic esop ha gos copy con fir med mul tip le small si ze poly po id le si ons and a di ver ti cu lum. Right tho ra cotomy and di ver ti cu lec tomy was per for med be ca u se of dyspha gi a and ody nop ha gi a. Du ring sur gery, we ob ser ved a tight ad he si on bet we en the left ma in bronc hus and the esop ha ge al di ver ti cu lum. Ad di ti o nally, we no ti ced that the di ver ti cu lum was abo ut to form a fis tu la in the esop ha gus and left ma in bronc hus. However, the re was no comp le te fis tu la for ma ti on. The fi nal pat ho lo gi cal di ag nosis was inf lam ma tory polyp and di ver ti cu lum of the esop ha gus to get her with in fec ti ve cells.K Ke ey y W Wo or rd ds s: : Esop ha ge al ne op lasms; di ver ti cu lo sis, esop ha ge al Ö ÖZ ZE ET T Özo fa ge al di ver ti kül ve po lip le rin bir lik te bu lun ma sı tıb bi li te ra tür de ol duk ça na dir bir bozuk luk tur. Biz disfaji şikayeti olan 38 yaşında bir kadın olguyu sunmaktayız. Bar yum lu ça lış ma da özo fa gus di ver ti kü lü gö rül dü. Fi be rop tik özo fa gos ko pi de bir den faz la kü çük bo yut lu po li po id lezyon lar ve di ver ti kül sap tan dı. Di ver ti kül var lı ğı ve yut ma güç lü ğü şika ye ti ne de ni ile sağ to ra ko tomi ve di ver ti ku lek to mi ame li ya tı ya pıl dı. Ame li yat sı ra sın da, sol ana bronş ve özo fa gus di ver ti kü lü ara sın da sı kı ya pı şık lık ol du ğu göz len di. İla ve ola rak, bu sı kı ya pı şık lı ğın öze fa gus ile sol ana bronş ara sın da ne re dey se fis tül olu şu mu na yol aç mak üze re olduğu, an cak he nüz fis tül oluş ma dı ğı göz lendi. Ni ha i pa to lo jik ta nı inf la ma tu ar po lip ve in fek tif hüc re le re sa hip özo fa gus di ver ti kü lü ola rak rapor edil di.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Öze fa gus tü mör le ri; di ver ti kü lo zis, özo fa ge al T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S...

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Section: Discussionmentioning

confidence: 99%

Esophageal Inflammatory Polyp and Accompanying Diverticulum: Report of a Case and Review of the Literature

Erdoğan¹,

Coşan²,

Gelen³

et al. 2011

Turkiye Klinikleri J Med Sci

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“…If, as is often the case, they present with regurgitation of the polyp into the mouth, their diagnosis is simple. In this situation, emergency management often requires immediate intubation or emergency tracheotomy as the first measures to control the airway and avoid asphyxia 3 , 4 , 5 . In patients who do not have this typical presentation, the diagnosis may be difficult 6 , 7 .…”

Section: Discussionmentioning

confidence: 99%

“…These tumors arise from the proximal part of the esophagus near the cricopharyngeal muscle 2 . Regurgitation of the polyp into the mouth is a common and spectacular event which makes the diagnosis of these tumors obvious 3 , 4 . We present a case in which an extensive fibrovascular polyp of the esophagus was diagnosed as an intramural esophageal tumor despite having been investigated using all available modern diagnostic techniques.…”

Section: Introductionmentioning

confidence: 99%

Fibrovascular esophageal polyp as a diagnostic challenge

Schuhmacher¹,

Becker²,

Dittler³

et al. 2008

Diseases of the Esophagus

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Fibrovascular polyps are rare benign esophageal tumors that usually arise from the proximal third of the esophagus. We present the case of a 48-year-old man with a history of dysphagia and 7-kg weight loss over a period of 2 months. A barium swallow showed a distended esophagus with a tumor extending from the upper esophageal sphincter to the cardia. On a thoracic computed tomographic scan, a homogeneous intramural mass with a density of 22 Houns®eld units was 1 seen, which extended throughout the entire esophagus. Fiberoptic endoscopy con®rmed the presence an intramural tumor beginning at the upper esophageal sphincter and reaching to the cardia. The tumor was completely covered with mucosa, except for an ulcerated area at its distal end, which herniated into the stomach. On endoscopic ultrasound, the tumor appeared to grow submucosally and to respect the muscularis propria. Endoscopic biopsies from the ulcerated distal aspect of the tumor suggested a leiomyoma. None of the imaging modalities used revealed evidence of a polyp or intraluminal esophageal tumor. Rather, a potentially malignant extensive intramural tumor was suspected, and an esophagectomy was performed. Only at the time of removal of the specimen did it become evident that the tumor mass was located intraluminally with a pedicle in the region of the upper esophageal sphincter. The ®nal pathological diagnosis was a giant ®brovascular polyp of the esophagus.

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“…To our knowledge no other esophageal duplication presenting as a protusion has been previously described. Other benign intraluminal lesions such as fibrovascular polyps, most frequent in adults, have been described to be sometimes regurgitated into the mouth 11–13 . These polyps may induce death from asphyxia by laryngeal occlusion.…”

Section: Discussionmentioning

confidence: 99%

A 16-month-old boy vomits a double tongue: intraluminal duplication of the cervical esophagus in children

et al. 2008

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A 16-month-old boy presented with a story of stridor, solid dysphagia and a history of spectacular protrusion underneath his tongue which was mistaken by the parents for a snake's tongue! The radiological examinations showed a filling defect of the upper and middle third esophagus which compressed the cervical trachea. This was found to be an intraluminal tubular esophageal duplication. Treatment by cervicotomy and unusual histological facts are presented.

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Esophageal fibrovascular polyp protruding from the mouth

Abstract: A case of a 66-year-old woman with a giant fibrovascular polyp protruding from the mouth is presented. The polyp was successfully removed by a cervical esophagotomy.

Cited by 11 publications

References 0 publications

Esophageal Inflammatory Polyp and Accompanying Diverticulum: Report of a Case and Review of the Literature

Esophageal Inflammatory Polyp and Accompanying Diverticulum: Report of a Case and Review of the Literature

Fibrovascular esophageal polyp as a diagnostic challenge

A 16-month-old boy vomits a double tongue: intraluminal duplication of the cervical esophagus in children

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