Oral Regurgitation of a Large Esophageal Mass

Abstract

Question: A 57-year-old man presented to the outpatient clinic with a 1-month history of worsening globus sensation and intermittent transoral mass regurgitation. The patient reported that the mass had developed gradually over the past 2 weeks. He had no significant dysphagia and had mild transient dyspnea when the mass regurgitated. He could induce nausea and freely vomit a smooth mass of 3-cm diameter into his mouth and swallow it back (Figure A, Video). A contrast-enhanced computed tomography scan of the neck revealed a 10-cm hypodense lesion originating in the cervical esophagus at the C6 level and extending distally to T3 (Figure B, C).