Presenting symptoms of giant fibrovascular polyp of the oesophagus: Case report and literature review

S. Sestini, M. Gisabella, U. Pastorino, Andrea Billé

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking. CASE HISTORY: Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This search revealed 290 articles, of which 74 were considered pertinent and were evaluated. We report a case of a 13cm pedunculated oesophageal lipoma that presented with increasing dysphagia and two episodes of suffocation. The patient underwent curative resection through a cervical approach. CONCLUSIONS: Resection is recommended for large (>5 cm) or symptomatic polyps. Outcomes are excellent given that lesions are universally benign and oesophageal resection is not required.

Original languageEnglish
Pages (from-to)e71-e73
JournalAnnals of the Royal College of Surgeons of England
Volume98
Issue number5
DOIs
Publication statusPublished - 2016

Keywords

  • Dysphagia
  • Oesophageal polyp
  • Resection
  • Suffocation

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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