Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 5

A Giant Hypopharyngeal - Oesophageal Fibrovascular Polyp

Estella Bilson-Amoah*, Kenneth K Baidoo, Emmanuel D Kitcher F, Adam A Jangu and Kafui Searyoh

Ear, Nose and Throat (ENT) Unit, Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana

*Corresponding Author: Estella Bilson-Amoah, Ear, Nose and Throat (ENT) Unit, Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.

Received: March 24, 2022; Published: April 28, 2022


Fibrovascular polyp is a rare benign tumour of the hypopharynx and esophagus. It presents in a vague and non-specific way which can pose a diagnostic dilemma for many clinicians. Our objective in presenting this particular case is to introduce this extremely rare diagnosis and management of giant hypopharyngeal-esophageal fibrovascular polyp.

We present a 37-year-old man who was referred to the Ear, Nose and Throat (ENT) unit of Korle-Bu Teaching Hospital on account of a one-year history of foreign body sensation in the throat, dysphagia, discomfort in the throat and regurgitation of fleshy mass in the throat which leads to intermittent choking spells, asphyxiation and difficulty breathing. There was no cough, hemoptysis or weight loss.

He had been treated with several medications at several health facilities as pharyngitis and reflux disease with not much improvement until he was finally referred to our facility when symptoms of choking, asphyxiation and dyspnea were worsening.

On examination was a young healthy man with normal physical examination including ear, nose and throat. Flexible nasolaryngoscopy was revealed a suspicious lesion in the left vallecular- piriform fossa area but all other subsites were essentially normal. A computed tomography (CT) scan done was reported as a uvular mass which was inconsistent with our clinical suspicions. So, the CT films was interpreted by surgical team and revealed a polypoidal mass arising from the left piriform fossa and extending into the cervical esophagus. The other laboratory investigations done including FBC, sickling test, BUE Cr were essentially normal.

Diagnosis was made mainly based on clinical history and examination finding of the regurgitated fleshy mass in the throat as well as the CT scan films and suspicious flexible endoscopic findings.

The patient had an examination under anesthesia of his pharynx and esophagus using a rigid esophagoscope after which showed a huge polypoidal mass filling the left pyriform fossa and esophageal lumen. A lateral pharyngoscopy and excision of the hypopharyngeal polyp was done. Histopathology confirmed the diagnosis of angiolipoma.

Patient recovered fully on the ward and started normal diet after 10 days of nasogastric feeding. He is currently stable one month after surgery and is doing well almost one-month post operation.

When a young person presents with foreign body sensation in the throat with associated dysphagia, choking spells it should not be ignored and treated as reflux laryngitis, pharyngitis, or as psychogenic in nature especially when symptoms do not improve over a long period of time.

Our case emphases the need to take thorough history and take time to listen to patient for him or her to demonstrate all their symptoms and signs in order to make accurate diagnosis despite conflicting or uncertain findings on CT reports and endoscopy. It is also important to read the CT images ourselves as surgeons and to not only use reports which may contradict our clinical diagnosis or mislead us. It is important to read on any case that poses as a diagnostic challenge to point us in the right direction in our day to day case management.

Keywords: Hypopharynx; Giant; Polyp; Fibrovascular; Angiolipoma


  1. Cochet B., et al. “Asphyxia Caused by Laryngeal Impaction of an Esophageal Polyp”. Archives of Otolaryngology3 (1980): 176-178.
  2. Lee SY., et al. “Recurrent giant fibrovascular polyp of the esophagus”. World Journal of Gastroenterology29 (2009): 3697-3700.
  3. Rees CJ and Belafsky PC. “Giant fibrovascular polyp of the esophagus”. Ear, Nose Throat Journal10 (2007): 606.
  4. Carrick C., et al. “Sudden death due to asphyxia by esophageal polyp: Two case reports and review of asphyxial deaths”. The American Journal of Forensic Medicine and Pathology 3 (2005): 275-281.
  5. Sultan PK., et al. “Fibrovascular polyps of the esophagus”. The Journal of Thoracic and Cardiovascular Surgery 6 (2005): 1709-1710.
  6. Levine MS., et al. “Fibrovascular Esophagus : Pathologic Polyps of the in 16 Patients”. American Journal of Roentgenology 166 (1994): 781-787.
  7. Caceres M., et al. “Large pedunculated polyps originating in the esophagus and hypopharynx”. Annals of Thoracial Surgery1 (2006): 393-396.
  8. Hoseok I., et al. “Giant fibrovascular polyp of the hypopharynx: Surgical treatment with the biappoach”. Journal of Korean Medical Science 4 (2006): 749-751.
  9. Leand PM., et al. “Obstructing esophageal polyp with eosinophilic infiltration. So-called eosinophilic granuloma”. American Journal of Surgry1 (1968): 93-96.
  10. Oguma J., et al. “BRIEF REPORTS EMR of a hyperplastic polyp arising in ectopic gastric mucosa in the cervical esophagus : case report”. 61.2 (2005): 335-338.
  11. Ozcelik C., et al. “Fibrovascular polyp of the esophagus: Diagnostic dilemma”. Interactive CardioVascular and Thoracic Surgery (ICVTS) 2 (2004): 260-262.
  12. Lin JJ and Lin F. “Two entities in angiolipoma (A study of 459 cases of lipoma with review of literature on infiltrating angiolipoma)”. Cancer3 (1974): 720-727.
  13. Garib G., et al. “Autosomal-dominant familial angiolipomatosis”. Cutis1 (2015): E26-E29.
  14. Schuhmacher C., et al. “Fibrovascular esophageal polyp as a diagnostic challenge”. Dis Esophagus4 (2000): 324-327.
  15. Ridge C., et al. “Giant oesophageal fibrovascular polyp (2005:12b)”. European Radiology3 (2006): 764-766.
  16. Latoo M., et al. “Angiolipoma of hypopharynx: A diagnostic dilemma”. Indian Journal of Otolaryngology and Head and Neck Surgery 2 (2007): 176-177.
  17. Oka M., et al. “Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature”. Springerplus1 (2016): 1-5.
  18. Lobo N., et al. “Endoscopic resection of a giant fibrovascular polyp of the oesophagus with the assistance of ultrasonic shears”. BMJ Case Report 2016 (2016): 2015-2017.
  19. Yamazaki K., et al. “Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife”. VideoGIE10 (2019): 451-453.
  20. Boni A., et al. “Atypical lipomatous tumor mimicking giant fibrovascular polyp of the esophagus: Report of a case and a critical review of literature”. Human Pathology6 (2013): 1165-1170.


Citation: Estella Bilson-Amoah., et al. “A Giant Hypopharyngeal - Oesophageal Fibrovascular Polyp".Acta Scientific Otolaryngology 4.5 (2022): 64-70.


Copyright: © 2022 Estella Bilson-Amoah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US