PMC9834610_01
Endoscopic images of the esophageal polyp
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In the next step, she underwent upper GI endoscopy, where a giant intraluminal mass in her esophagus was detected (Figure 1).
Axial views of the esophageal polyp CT scan
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Spiral lung CT scan results showed a pedunculated submucosal intraluminal mass with fatty density, originating from the upper thoracic esophagus and extending down to the middle thoracic esophagus, suggestive of a fibrovascular polyp (Figure 2).
Surgical exploration of the polyp
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After failing to determine the location of the polyp using a rigid esophagoscope, surgical exploration was performed by a left-sided cervical esophagotomy (Figure 3).
Resected esophageal polyp
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Pathologic evaluation of resected sections revealed a cream-yellow pedunculated polypoid structure with elastic consistency measuring 0.4 x 6 cm (Figure 4), lined by fibrinolytic exudate and granulation tissue formation with edematous stroma and numerous blood vessels with some inflammatory cells.
Post-up barium swallow study
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The post-up barium swallow study showed only a mild dilation in the thoracic esophagus, with no evidence of leakage or extravasation (Figure 5).