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Rare Gastric Cardia Polyp Causing Complete Esophageal Obstruction
Kyley Leroy1, Brian Moy2, Houman Rezaizadeh2
1Department of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA.
ACG Case Reports Journal
|October 14, 2017
Summary
A large gastric polyp caused a rare esophageal obstruction in a 67-year-old man. Surgical removal was necessary due to the polyp
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Esophageal obstruction is a serious condition often caused by strictures or external compression.
- Gastric polyps are typically asymptomatic or cause mild symptoms; esophageal obstruction is exceedingly rare.
Observation:
- A 67-year-old male presented with acute food impaction.
- Diagnostic imaging revealed a large gastric polyp obstructing the gastroesophageal junction.
- The polyp's size and location precluded immediate endoscopic removal.
Findings:
- The gastric polyp was successfully removed via intraoperative endoscopy and polypectomy.
- This case represents a unique instance of a gastric polyp causing significant esophageal outlet obstruction.
- Concomitant surgical management was required due to the polyp's characteristics.
Implications:
- Highlights the potential for gastric polyps to cause rare but severe upper gastrointestinal complications.
- Emphasizes the importance of considering unusual etiologies for esophageal obstruction.
- Suggests a need for careful evaluation of gastric lesions, even if seemingly benign, in patients with obstructive symptoms.