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.
Highlights
Dysphagia is a serious symptom and it can be caused by malignant process such as esophageal cancer or compression of the esophagus, neurological and motility disorders such as achalasia, or benign disorders like strictures, diverticula or esophagitis
Seldom dysphagia is caused by a benign polyp, which protrudes in the esophagus
A 73-year old male patient presented with dysphagia that existed for about four months
Summary
Dysphagia is a serious symptom and it can be caused by malignant process such as esophageal cancer or compression of the esophagus, neurological and motility disorders such as achalasia, or benign disorders like strictures, diverticula or esophagitis. 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. Barium contrast study demonstrated a tubular intraluminal mass originating from the proximal esophagus distal to the crico-esophageal junction (Figure 1). 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). These features match with the diagnosis of a fibrovascular polyp. Insertion shows a barium swallow with a large tubular intraluminal mass in the proximal esophagus
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