Year 2025 / Volume 117 / Number 9
Letter
Giant fibroepithelial polyp of the esophagus successfully managed endoscopically

534

DOI: 10.17235/reed.2024.10594/2024

Rute Gomes, Diana Martins, Ricardo Araújo, António Castanheira,

Abstract
An 68-year-old woman complained of substernal discomfort and occasional regurgitation of a fleshy mass into her mouth. 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 extending 8 cm downward. A 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 muscularis 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 present this case due to its rarity and atypical presentation.
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References
1- Zhang, H., & Nie, R. H. (2015). A rare case of giant fibrovascular polyp of the esophagus. Saudi medical journal, 36(11), 1348–1350. https://doi.org/10.15537/smj.2015.11.12531
2- François, S., Waldbillig, C., Lasser, L., Ngassa, M., & Khamaktchian, M. (2020). Giant fibrovascular polyp of the esophagus. Gastrointestinal endoscopy, 91(2), 442–443. https://doi.org/10.1016/j.gie.2019.09.002
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Gomes R, Martins D, Araújo R, Castanheira A. Giant fibroepithelial polyp of the esophagus successfully managed endoscopically. 10594/2024


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Publication history

Received: 16/06/2024

Accepted: 19/06/2024

Online First: 05/07/2024

Published: 15/09/2025

Article Online First time: 19 days

Article editing time: 456 days


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