Difficult endoscopic resection of a giant esophageal fibrovascular polyp: case report and literature review

• Published in: Journal of international medical research Vol. 49; no. 8; p. 3000605211039801
• Main Authors: Nie, Dan, Zong, Ye, Li, Jielin
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.08.2021; Sage Publications Ltd; SAGE Publishing
• Subjects: Case Report; Case reports; Endoscopy; Esophageal Neoplasms - diagnostic imaging; Esophageal Neoplasms - surgery; Esophagus; Female; Humans; Polyps; Polyps - diagnostic imaging; Polyps - surgery; Positron Emission Tomography Computed Tomography; positron emission tomography-computed tomography; case report; Giant esophageal fibrovascular polyp; endoscopic ultrasonography and fine needle aspiration; surgical resection; difficult endoscopic resection
• ISSN: 0300-0605; 1473-2300
• DOI: 10.1177/03000605211039801

Esophageal fibrovascular polyp is rare in esophageal neoplasms and usually very large. Here, we present a case of giant esophageal fibrovascular polyp. The patient had dysphagia and choking sensation at presentation. She underwent positron emission-computed tomography (PET-CT), endoscopy, endoscopic ultrasonography, and fine needle aspiration. She was clinically diagnosed as having an esophageal benign tumor and underwent endoscopic submucosal dissection. The polyp was successfully resected; however, the process was very difficult, and the lesion was too large to pass through the upper esophagus. Finally, we removed the lesion surgically. Fibrovascular polyps are often large, and if endoscopic resection is chosen, it is necessary to consider the difficulties that may be encountered during resection, before initiating treatment.