Esophageal Inflammatory Polyp

 Smooth, ovoid protuberance and “sentinel fold” on barium esophagram in patient with history of acid reflux disease

– Uncommonly, may have irregular border or lobulation

– Represents bulbous tip of prominent gastric fold extending from gastric cardia into distal esophagus

– Located at or above gastroesophageal (GE) junction

– 5-20 mm in size



• Endoscopic ultrasound
image Round, hypoechoic lesion within 2nd and 3rd layers of esophageal wall

image Homogeneous echogenicity, richly vascularized




TOP DIFFERENTIAL DIAGNOSES




• Esophageal intramural benign tumors
image Hypoechoic with heterogeneous echogenicity on endoscopic US

image Arising from muscularis propria layer

image Usually have obtuse margin with esophageal wall on esophagram

• Thrombosed esophageal varix
image History of portal hypertension and associated findings (cirrhosis, ascites, etc.)

image Usually have history of iatrogenic sclerosis (by injecting varices)

• Esophageal papilloma
image Usually isolated, small, sessile mass

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Nov 16, 2016 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on Esophageal Inflammatory Polyp

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