Multiple synchronous fibrovascular polyps of the hypopharynx.
OBJECTIVE
To evaluate the clinical, radiological presentation and surgical management of fibrovascular polyps of the hypopharynx.


METHODS
Retrospective medical analysis of a case report. We report the case of a 66-year-old man, who presented with an incarcerated left inguinal hernia, vomiting and regurgitation of a large mass into the oral cavity resulting in syncope. MRI and cine-esophagram demonstrated a large mass in the cervical esophagus. At the time of herniorrhaphy, endoscopy revealed an 11.8-cm hypopharyngeal mass that completely obstructed the oropharynx.


RESULTS
The airway was secured by tracheostomy and the lesion was subsequently removed via open pharyngotomy. Postoperatively, a second polyp was found ball-valving into the airway, and an endoscopic resection was performed prior to decannulation. Histopathology of both lesions confirmed the diagnosis of a fibrovascular polyp.


CONCLUSIONS
Fibrovascular polyps are rare benign intraluminal esophageal lesions resulting in mild symptoms of dysphagia that may also cause significant morbidity such as syncope and asphyxia. This is the first report of synchronous fibrovascular polyps of the hypopharynx.
Nuyens
Michel R
MR
Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Md. 21287-0910, USA.
Bhatti
Nasir I
NI
Flint
Paul
P
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology; D001237:Asphyxia / Q000209:etiology; D004945:Esophagoscopy; D006801:Humans; D007013:Hypopharynx / Q000601:surgery*; D007828:Laryngoscopy; D008297:Male; D010610:Pharyngeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D011127:Polyps / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome