Giant fibroepithelial polyp of the esophagus successfully managed endoscopically.

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.