Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review

Vladimir Ćuk; Slavica Knežević - Ušaj; Mile Ignjatović; Zoran Kostić; Dino Tarabar; Bojan Kovačević; Milena Šćepanović; Damjan Slavković

doi:10.2298/3903

Vladimir Ćuk Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
Slavica Knežević - Ušaj Department of Pathology, Institute of Oncology of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Mile Ignjatović Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
Zoran Kostić Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Dino Tarabar Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Gastroenterology, Military Medical Academy, Belgrade, Serbia
Bojan Kovačević Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
Milena Šćepanović Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
Damjan Slavković Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/3903

Keywords: polyps, esophagus, granuloma, plasma cell, diagnosis, endosonography, histological techniques, surgical procedures, operative, treatment outcome,

Abstract

Introduction. Esophageal fibrovascular polyps are rare, benign, intraluminal, submucosal tumor-like lesions, characterized by pedunculated masses which can demonstrate enormous growth. The most frequent symptoms are dysphagia, vomiting and weight loss. Fibrovascular polyps with long stalks can regurgitate into the airways and cause asphyxia. Esophageal inflammatory pseudotumor is extremely rare lesion accompanied with various systemic manifestations as fever, anemia and thrombocytosis. Case report. We presented a 29-year-old man complaining of a long-lasting fever and dysphagia. He was found to have huge pedunculated submucosal tumor of esophagus, surgically completely resected. Histopathological examination showed that this giant tumor, 24 ´ 9 ´ 6 cm, was a fibrovascular polyp. The postoperative course was uneventful. The preoperative fever, anemia and thrombocytosis disappeared and did not recur in the postoperative course. Conclusion. We reported a patient with giant esophageal pedunculated tumor with clinical manifestations of inflammatory pseudotumor and histopathological picture of fibrovascular polyp, that we have not found described in the literature before.

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