Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery.

Autor: Matli VVK; Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York, USA., Devagudi D; Department of Internal Medicine, West Anaheim Medical Center, Anaheim, California, USA., Cooney B; Department of Radiology, Syracuse Veteran Affairs Medical Center, Syracuse, New York, USA., Murthy U; Department of Gastroenterology, Syracuse Veteran Affairs Medical Center, Syracuse, New York, USA.
Jazyk: angličtina
Zdroj: Case reports in gastroenterology [Case Rep Gastroenterol] 2021 Sep 30; Vol. 15 (3), pp. 856-860. Date of Electronic Publication: 2021 Sep 30 (Print Publication: 2021).
DOI: 10.1159/000519197
Abstrakt: Gastrointestinal (GI) lipomatosis has been reported in the GI medicine literature, but esophageal lipomatosis has never been reported at all. We report the case of an 86-year-old man with multiple medical comorbidities who was admitted to our hospital for community-acquired pneumonia. Computed tomography angiography of his pulmonary arteries ruled out the possibility of pulmonary embolism but showed a 9-mm circumferential wall thickening in the proximal esophagus measuring -172 HU, which is similar in opacity to the adipose tissue. The patient was asymptomatic and without any current or prior symptoms of dysphagia or odynophagia. The barium esophagogram was unremarkable; there were no strictures, masses, or mucosal abnormalities. There was no evidence of esophageal dilatation on either imaging modality. Esophageal lipomatosis is only described in a few case reports in the radiological literature and, to our knowledge, has not been reported in the GI literature at all. It is important to highlight in the GI literature this as a benign entity that does not cause symptoms and typically does not warrant invasive diagnostic or therapeutic interventions.
Competing Interests: The authors have no conflicts of interest to declare.
(Copyright © 2021 by S. Karger AG, Basel.)
Databáze: MEDLINE
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