Limits...
Dysphagia caused by a fibrovascular polyp: a case report.

Blacha MM, Sloots CE, Van Munster IP, Wobbes T - Cases J (2008)

Bottom Line: A 73-year old man presented with dysphagia for liquid and solid food.This, almost 10 cm benign esophageal tumor, was removed surgically by a cervical esophagotomy.A fibrovascular polyp is a rare benign tumor of the esophagus, which, however, may give serious complications as asphyxia resulting from laryngeal obstruction leading to sudden death.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Radboud University Nijmegen Medical Center, the Netherlands. t.wobbes@chir.umcn.nl.

ABSTRACT
A 73-year old man presented with dysphagia for liquid and solid food. Barium contrast study of the esophagus and esophagoscopy demonstrated a fibrovascular polyp. This, almost 10 cm benign esophageal tumor, was removed surgically by a cervical esophagotomy. A fibrovascular polyp is a rare benign tumor of the esophagus, which, however, may give serious complications as asphyxia resulting from laryngeal obstruction leading to sudden death.

No MeSH data available.


Related in: MedlinePlus

Pulling out the pedunculated polyp via a transcervical esophagotomy. Insertion shows the almost 10 cm long polyp.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2602996&req=5

Figure 3: Pulling out the pedunculated polyp via a transcervical esophagotomy. Insertion shows the almost 10 cm long polyp.

Mentions: A 73-year old male patient presented with dysphagia that existed for about four months. He reported the sensation of a mass in his throat during swallowing of solid as well as liquid food. The complaints suggested an intraluminal tumor. Barium contrast study demonstrated a tubular intraluminal mass originating from the proximal esophagus distal to the crico-esophageal junction (Figure 1). Esophagoscopy showed a smooth mass in half of the esophageal circumference. The polyp was attached to the hypopharynx on the right. On the lateral chest x-ray, the mass was already visible in the posterior mediastinum (Figure 1). Computed tomography scanning of the chest showed an intraluminal pedunculated lesion in the upper to middle esophagus (Figure 2). The radiographic and esophagoscopic findings were suggestive for a fibrovascular polyp. In order to remove the polyp, the patient underwent a left-sided cervical esophagotomy. The mass was pulled out via a length esophagotomy. The pedicle was ligated at the right side of the esophagus and the polyp extirpated (Figure 3). Postoperatively, the patient complained of dysphagia for solid food and dysphonia, probably due to edema at the esophagotomy wound. Six weeks postoperatively, all symptoms had disappeared.


Dysphagia caused by a fibrovascular polyp: a case report.

Blacha MM, Sloots CE, Van Munster IP, Wobbes T - Cases J (2008)

Pulling out the pedunculated polyp via a transcervical esophagotomy. Insertion shows the almost 10 cm long polyp.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2602996&req=5

Figure 3: Pulling out the pedunculated polyp via a transcervical esophagotomy. Insertion shows the almost 10 cm long polyp.
Mentions: A 73-year old male patient presented with dysphagia that existed for about four months. He reported the sensation of a mass in his throat during swallowing of solid as well as liquid food. The complaints suggested an intraluminal tumor. Barium contrast study demonstrated a tubular intraluminal mass originating from the proximal esophagus distal to the crico-esophageal junction (Figure 1). Esophagoscopy showed a smooth mass in half of the esophageal circumference. The polyp was attached to the hypopharynx on the right. On the lateral chest x-ray, the mass was already visible in the posterior mediastinum (Figure 1). Computed tomography scanning of the chest showed an intraluminal pedunculated lesion in the upper to middle esophagus (Figure 2). The radiographic and esophagoscopic findings were suggestive for a fibrovascular polyp. In order to remove the polyp, the patient underwent a left-sided cervical esophagotomy. The mass was pulled out via a length esophagotomy. The pedicle was ligated at the right side of the esophagus and the polyp extirpated (Figure 3). Postoperatively, the patient complained of dysphagia for solid food and dysphonia, probably due to edema at the esophagotomy wound. Six weeks postoperatively, all symptoms had disappeared.

Bottom Line: A 73-year old man presented with dysphagia for liquid and solid food.This, almost 10 cm benign esophageal tumor, was removed surgically by a cervical esophagotomy.A fibrovascular polyp is a rare benign tumor of the esophagus, which, however, may give serious complications as asphyxia resulting from laryngeal obstruction leading to sudden death.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Radboud University Nijmegen Medical Center, the Netherlands. t.wobbes@chir.umcn.nl.

ABSTRACT
A 73-year old man presented with dysphagia for liquid and solid food. Barium contrast study of the esophagus and esophagoscopy demonstrated a fibrovascular polyp. This, almost 10 cm benign esophageal tumor, was removed surgically by a cervical esophagotomy. A fibrovascular polyp is a rare benign tumor of the esophagus, which, however, may give serious complications as asphyxia resulting from laryngeal obstruction leading to sudden death.

No MeSH data available.


Related in: MedlinePlus