Giant fibrovascular polyp of the esophagus managed endoscopically – a case report with images

Abstract Text An 68 year old woman complained of substernal discomfort and occasional regurgitation of a fleshy mass. There was no history of weight loss, dysphagia or dyspnea. Upper endoscopy revealed a polypoid digitiform mass with a single pedicle arising from the upper esophagus and ending 8 cm below. The CT scan demonstrated an elongated intraluminal esophageal mass extending from the cervical esophagus with a longitudinal length of more than 7 cm. Endoscopic ultrasound revealed a subepithelial lesion sparing the muscaris propria layer. The decision was made to proceed with endoscopic polypectomy, which was successfully performed using a hot snare after prophylactic hemostasis with an endoloop. Histology revealed a fibrovascular polyp. The patient had an uneventful recovery and became asymptomatic. We are presenting this case due to it's rarity and atypical presentation. [1] [2]

Publication History

Article published online:
15 April 2024

• References

• 1 Zhang H, Nie RH.. A rare case of giant fibrovascular polyp of the esophagus. Saudi Med J 2015; 36 (11) 1348-1350
• 2 François S, Waldbillig C, Lasser L, Ngassa M, Khamaktchian M.. Giant fibrovascular polyp of the esophagus. Gastrointest Endosc 2020; 91 (02) 442-443