Esophageal inflammatory fibroid polyp

Abstract

We present the case of a 60-year-old male patient, who had several episodes of melena during the last years. One month ago he had a new episode of digestive bleeding, and an endoscopic study was performed that showed at 35 cm from the dental arcade a polypoid, pedunculated lesion, with a diameter of 5 cm and a submucosal aspect, a few erosions on its surface and a fibrin deposit. Its head reached the cardia, and it bled when touched by the endoscope. The biopsies taken were negative. X-ray and CT studies confirmed the existence of a mass compatible with a submucosal lesion. The patient was operated and the tumor was excised. The histologic study showed an inflammatory fibroid polyp, an entity very rarely described at the level of the stomach, duodenum, small intestine, and colon and exceptionally described at the esophageal level.

Laparoscopy Endoscopy Cooperative Surgery for Inflammatory Fibroid Polyp in the Esophagus

“…IFPs commonly originate in the stomach and less frequently in the small intestine and colon, but only a few reports have described its presence in the esophagus (3). A literature search on PubMed with the key words “inflammatory fibroid polyp” and “esophagus,” produced 10 case reports describing esophageal IFP with detailed clinical information (Table) (3-12). The mean tumor size was 77 mm (range: 13-130 mm).…”