A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp

Kyle G. Mitchell, Erin M. Corsini, Robert M. Van Haren, Garrett L Walsh, Boris Sepesi

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)205-207
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume59
DOIs
StatePublished - Jan 1 2019

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Diverticulum
Polyps
Esophageal Diverticulum
Deglutition Disorders
Esophagus
Lipoma
Traction
Endoscopy
Tomography
Inflammation

Keywords

  • Case report
  • Esophageal diseases
  • Esophageal diverticulum
  • Fibrovascular polyp

ASJC Scopus subject areas

  • Surgery

Cite this

A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp. / Mitchell, Kyle G.; Corsini, Erin M.; Van Haren, Robert M.; Walsh, Garrett L; Sepesi, Boris.

In: International Journal of Surgery Case Reports, Vol. 59, 01.01.2019, p. 205-207.

Research output: Contribution to journalArticle

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