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A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556739/ https://www.ncbi.nlm.nih.gov/pubmed/31181388 http://dx.doi.org/10.1016/j.ijscr.2019.05.047 |
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author | Mitchell, Kyle G. Corsini, Erin M. Van Haren, Robert M. Walsh, Garrett L. Sepesi, Boris |
author_facet | Mitchell, Kyle G. Corsini, Erin M. Van Haren, Robert M. Walsh, Garrett L. Sepesi, Boris |
author_sort | Mitchell, Kyle G. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6556739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-65567392019-06-13 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 Int J Surg Case Rep Article 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. Elsevier 2019-05-31 /pmc/articles/PMC6556739/ /pubmed/31181388 http://dx.doi.org/10.1016/j.ijscr.2019.05.047 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mitchell, Kyle G. Corsini, Erin M. Van Haren, Robert M. Walsh, Garrett L. Sepesi, Boris A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title | A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title_full | A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title_fullStr | A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title_full_unstemmed | A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title_short | A case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
title_sort | case report of a midesophageal diverticulum mimicking a fibrovascular esophageal polyp |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556739/ https://www.ncbi.nlm.nih.gov/pubmed/31181388 http://dx.doi.org/10.1016/j.ijscr.2019.05.047 |
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