PMC6791219_01
Endoscopic image showing a single, red, bilobed 10 mm polyp with whitish exudate in the proximal esophagus.
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An 80-year-old male with a past medical history of hypertension and diabetes mellitus type II underwent endoscopy for evaluation of dysphagia and was found to have a single, red, bilobed 10 mm polyp with white exudate in the proximal esophagus measuring 19 cm from the incisors (Figure 1).
Endoscopic image of the mucosal snare resection being performed after saline and methylene blue injection.
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The lesion lifted symmetrically, and a mucosal snare resection was performed successfully with en bloc retrieval of the specimen (Figures 2 and 3).
Endoscopic image of the post-polypectomy site with no residual tissue remaining and no evidence of bleeding.
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The lesion lifted symmetrically, and a mucosal snare resection was performed successfully with en bloc retrieval of the specimen (Figures 2 and 3).
Endoscopic image of successful closure of the post-polypectomy site with a hemostatic clip.
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The polypectomy defect was then approximated and closed with a hemostatic clip successfully to prevent post-polypectomy bleeding (Figure 4).
Pathology imaging revealed small capillary vessels growing in a lobular architecture with an edematous stroma and a florid inflammatory infiltrate representing a pyogenic granuloma.
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Pathology of the specimen revealed small capillary vessels growing in a lobular architecture with an edematous stroma and a florid inflammatory infiltrate representing a lobular capillary hemangioma or pyogenic granuloma (Figure 5).