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Fibrovascular polyp of the esophagus in infant
1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea. hcpaik@yumc.yonsei.ac.kr
Insights
A rare fibrovascular polyp caused a rare esophageal obstruction in an infant, presenting as a sausage-like mass. The benign tumor was successfully removed via oral endoscopy, marking a first in infant cases.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Surgical Pathology
Background:
- Fibrovascular polyps (FVPs) are rare, benign esophageal tumors typically found in adult males.
- Esophageal masses in infants can present with varied symptoms, including vomiting and airway obstruction.
- Diagnosis and management of esophageal lesions in infants require specialized endoscopic and surgical approaches.
Observation:
- A five-month-old female infant presented with intermittent vomiting and a visible, sausage-like mass protruding from her oral cavity.
- Esophageal endoscopy and esophagogram identified an upper esophageal mass consistent with a fibrovascular polyp.
- The mass originated from the posterior wall of the cervical esophagus.
Findings:
- Surgical excision of the esophageal mass was performed under general anesthesia using forceps via the oral cavity.
- The resected mass was confirmed histopathologically as a fibrovascular polyp.
- This case represents the first reported instance of a fibrovascular polyp occurring in an infant.
Implications:
- This case expands the known demographic profile of fibrovascular polyps to include infancy.
- It highlights the importance of considering rare esophageal lesions in the differential diagnosis of vomiting and oral masses in infants.
- Successful endoscopic management demonstrates a minimally invasive treatment option for pediatric esophageal fibrovascular polyps.
Abstract:
A five month female was referred complaining of intermittent vomiting with protrusion of a sausage-like mass through the oral cavity. Esophageal endoscopy and esophagogram revealed a mass in the upper esophagus, which was diagnosed as a fibrovascular polyp. Under general anesthesia, the mass was grasped through the oral cavity with a forcep and ligated and excised at the base, where a stump arose from the posterior wall of the cervical esophagus. The pathology was confirmed as a fibrovascular polyp, which is a rare benign esophageal lesion occurring mostly in adult males, and has not been reported in infancy.