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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...

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Autores principales: Mitchell, Kyle G., Corsini, Erin M., Van Haren, Robert M., Walsh, Garrett L., Sepesi, Boris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
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.
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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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