Acta Endoscopica

, 31:533 | Cite as

Polype fibreux inflammatoire de l’œsophage

  • Helena Lomba Viana
  • L. L. Santos
  • M. F. Jacôme
  • Maria Rosa Fragoso
  • L. T. Gouveia
  • J. G. Santos
Article
  • 38 Downloads

Résumé

Les polypes géants pédiculés de l’œsophage sont très rares. Néanmoins, ils peuvent être dangereux, provoquant parfois l’asphyxie du patient.

Le diagnostic est difficile par œsophagographie, œsophagoscopie et écho-endoscopie. Les auteurs présentent une analyse rétrospective d’une patiente ayant un polype de l’œsophage de 20 cm de long, lequel a été retiré par œsophagotomie.

L’examen histologique a révélé un polype inflammatoire pédiculé, avec présence de nombreux éléments myxoïdes et vasculaires.

Les méthodes diagnostiques et thérapeutiques de cette pathologie rare sont également décrits.

Les auteurs soulignent l’importance des ganglions lymphatiques inflammatoires, détectés par écho-endoscopie, pour le diagnostic de ce type de polype.

Mots-clés

écho-endoscopie ganglions inflammatoires œsophage œsophagotomie polype inflammatoire 

Inflammatory fibroid polyp of the oesophagus

Summary

Giant pedunculated esophageal polyps are very rare. However, they can be dangerous and have been known to sometimes lead to asphyxia.

The diagnosis of the disease is difficult to obtain by esophagography, esophagoscopy and endoscopic ultrasonography. The authors present a clinical report of a patient with a 20 cm long esophageal polyp removed by esophagotomy.

Histologic examinations showed a pedicled inflammatory polyp with a remarkable presence of myxoid and vascular components.

The diagnostic and therapeutic methods to manage this rare disease were also described.

The authors point out the importance of the inflammatory lymph nodes detected by endoscopic ultrasonography in the diagnosis of this entity.

Key-words

endoscopic ultrasonography inflammatory nodes inflammatory polyp oesophagotomy oesophagus 
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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Helena Lomba Viana
    • 1
  • L. L. Santos
    • 2
  • M. F. Jacôme
    • 3
  • Maria Rosa Fragoso
    • 4
  • L. T. Gouveia
    • 2
  • J. G. Santos
    • 2
  1. 1.Dept de Gastro-entérologieInstituto Português de Oncologia Francisco GentilPorto(Portugal)
  2. 2.Dept de ChirurgieInstituto Português de Oncologia Francisco GentilPorto(Portugal)
  3. 3.Dept de Anatomie PathologiqueInstituto Português de Oncologia Francisco GentilPorto(Portugal)
  4. 4.Dept de Médecine OncologiqueInstituto Português de Oncologia Francisco GentilPorto(Portugal)

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