Case report

Giant fibrovascular polyp of the oesophagus: a case report and review of the literature

Danai Chourmouzi¹ and Antonios Drevelegas²

¹  Department of Diagnostic Radiology, Interbalcan Medical Center, Gymnasiou 20, Panorama 55236, Thessaloniki, Greece

²  Department of Diagnostic Radiology, Ahepa University Hospital, Nikis 10, Panorama 55236, Thessaloniki, Greece

author email corresponding author email

Journal of Medical Case Reports 2008, 2:337doi:10.1186/1752-1947-2-337

Published:	28 October 2008

Abstract

Introduction

We present a case of fibrovascular polyp, a rare submucosal tumour of the oesophagus that has been reported only sporadically in the literature. The biapproach for surgical removal of fibrovascular polyp has only been mentioned once in the literature.

Case presentation

A 65-year-old Greek man presented with a 9-month history of gradually progressive intermittent dysphagia. Radiologic work-up with oesophagogram and computed tomography revealed a large, sausage-shaped intraluminal polyp extending from the level of the cervical oesophagus to the level of the upper body of the stomach. The diagnosis of giant fibrovascular polyp was made radiographically and confirmed by endoscopic biopsy. The polyp was removed using a biapproach surgical technique: pharyngotomy and subsequent gastrostomy.

Conclusion

Fibrovascular polyp is a rare submucosal tumour. Proper treatment depends on accurate assessment of the origin, size, and vascularity of the pedicle and the size of the tumour. Choice of the appropriate surgical approach depends on the correct diagnosis, which can usually be indicated radiographically by the presence of a smooth, sausage-shaped defect with a discrete bulbous tip.