Esophageal hemangioma: endoscopic diagnosis and treatment

We report on a 72-year-old man complaining of spontaneous retrosternal chest pain in whom an esophagogram showed a filling defect in the upper esophagus. On endoscopy, a polypoid lesion with a bluish-white surface was seen, the biopsy indicating the presence of a hemangioma. Endoscopic ultrasonography demonstrated the superficial origin of the lesion and the presence of vascular structures. Endoscopic resection was performed using a combination of hemostatic clipping and snare polypectomy, with excellent results. Follow-up for ten months did not reveal any recurrence.