TY - JOUR
T1 - A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp
AU - Mitchell, Kyle G.
AU - Corsini, Erin M.
AU - Van Haren, Robert M.
AU - Walsh, Garrett L.
AU - Sepesi, Boris
N1 - Publisher Copyright:
© 2019 The Author(s)
PY - 2019
Y1 - 2019
N2 - Introduction: Esophageal diverticula and esophageal fibrovascular polyps are uncommon clinical entities. While an asymptomatic presentation is possible, symptoms, when present, may be dissimilar in their gastrointestinal or respiratory characteristics. Additionally, these findings typically occur in different segments of the esophagus, with polyps occurring most frequently in the cervical esophagus and the midesophagus being the predominant location of pathologic diverticula. Presentation of case: We report the case of a 55-year-old patient who presented with a two-year history of progressive dysphagia secondary to a large proximal to midesophageal mass. Workup included esophagography, computed tomography, and endoscopy with ultrasound and was initially consistent with a diagnosis of a large esophageal fibrovascular polyp. Upon operative exploration, the mass was found to be a midesophageal diverticulum associated with a leading lipoma. The patient was successfully treated with transthoracic stapled diverticulectomy. At postoperative follow-up the patient was tolerating oral intake with no symptoms of dysphagia. Discussion: Esophageal diverticula are typically found in the midesophagus and are thought to arise from radial traction secondary to mediastinal inflammation. Esophageal fibrovascular polyps may result from tracheobronchial compression, and esophagography typically identifies a mobile intraluminal mass. Conclusion: Esophageal fibrovascular polyps and diverticula are rare, and a high index of suspicion is important in evaluation of these entities.
AB - Introduction: Esophageal diverticula and esophageal fibrovascular polyps are uncommon clinical entities. While an asymptomatic presentation is possible, symptoms, when present, may be dissimilar in their gastrointestinal or respiratory characteristics. Additionally, these findings typically occur in different segments of the esophagus, with polyps occurring most frequently in the cervical esophagus and the midesophagus being the predominant location of pathologic diverticula. Presentation of case: We report the case of a 55-year-old patient who presented with a two-year history of progressive dysphagia secondary to a large proximal to midesophageal mass. Workup included esophagography, computed tomography, and endoscopy with ultrasound and was initially consistent with a diagnosis of a large esophageal fibrovascular polyp. Upon operative exploration, the mass was found to be a midesophageal diverticulum associated with a leading lipoma. The patient was successfully treated with transthoracic stapled diverticulectomy. At postoperative follow-up the patient was tolerating oral intake with no symptoms of dysphagia. Discussion: Esophageal diverticula are typically found in the midesophagus and are thought to arise from radial traction secondary to mediastinal inflammation. Esophageal fibrovascular polyps may result from tracheobronchial compression, and esophagography typically identifies a mobile intraluminal mass. Conclusion: Esophageal fibrovascular polyps and diverticula are rare, and a high index of suspicion is important in evaluation of these entities.
KW - Case report
KW - Esophageal diseases
KW - Esophageal diverticulum
KW - Fibrovascular polyp
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U2 - 10.1016/j.ijscr.2019.05.047
DO - 10.1016/j.ijscr.2019.05.047
M3 - Article
C2 - 31181388
AN - SCOPUS:85066853276
SN - 2210-2612
VL - 59
SP - 205
EP - 207
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -