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Journal of Medical Case Reports

, 2:337

First Online: 28 October 2008Received: 03 March 2008Accepted: 28 October 2008DOI: 10.1186-1752-1947-2-337

Cite this article as: Chourmouzi, D. & Drevelegas, A. J Med Case Reports 2008 2: 337. doi:10.1186-1752-1947-2-337


IntroductionWe 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 presentationA 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.

ConclusionFibrovascular 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.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-2-337 contains supplementary material, which is available to authorized users.

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Autor: Danai Chourmouzi - Antonios Drevelegas


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