Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding
A 76-year-old woman, presenting with a 4-year history of progressive dysphagia, was submitted to endoscopic examination. The upper endoscopy revealed a proximal esophageal stricture and inflammatory mucosa associated with multiples small orifices in the esophageal wall, some of them fulfilled with w...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/154767 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551809920532480 |
|---|---|
| author | Luciana Lopes de Oliveira Fred Olavo Aragão Andrade Carneiro Elisa Ryoka Baba Thiago Guimarães Vilaça Dalton Marques Chaves Everson Luiz de Almeida Artifon Eduardo Guimarães Hourneaux de Moura Paulo Sakai |
| author_facet | Luciana Lopes de Oliveira Fred Olavo Aragão Andrade Carneiro Elisa Ryoka Baba Thiago Guimarães Vilaça Dalton Marques Chaves Everson Luiz de Almeida Artifon Eduardo Guimarães Hourneaux de Moura Paulo Sakai |
| author_sort | Luciana Lopes de Oliveira |
| collection | DOAJ |
| description | A 76-year-old woman, presenting with a 4-year history of progressive dysphagia, was submitted to endoscopic examination. The upper endoscopy revealed a proximal esophageal stricture and inflammatory mucosa associated with multiples small orifices in the esophageal wall, some of them fulfilled with white spots suggestive of fungal infection. This was a typical endoscopic finding of esophageal intramural pseudodiverticulosis, a benign and rare condition, related to chronic esophagitis and others comorbid states, such as gastroesophageal reflux disease or infectious esophagitis, diabetes mellitus, alcohol consumption, and achalasia. Dysphagia is the predominant symptom and can be accompanied by esophageal stricture in 80% to 90% of patients. The pathogenesis is unknown, and as the pseudodiverticulosis is an intramural finding, endoscopy biopsies are inconclusive. The main histological finding is dilation of the submucosal glands excretory ducts, probably obstructed by inflammatory cells. The treatment consists in management of the underlying diseases and symptoms relief. In this particular case, the patient was submitted to antifungal drugs followed by endoscopic dilation with thermoplastic bougies, with satisfactory improvement of dysphagia. |
| format | Article |
| id | doaj-art-682be27d960846938a2769ad6c75dca1 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-682be27d960846938a2769ad6c75dca12025-02-03T06:00:25ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/154767154767Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic FindingLuciana Lopes de Oliveira0Fred Olavo Aragão Andrade Carneiro1Elisa Ryoka Baba2Thiago Guimarães Vilaça3Dalton Marques Chaves4Everson Luiz de Almeida Artifon5Eduardo Guimarães Hourneaux de Moura6Paulo Sakai7Gastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilGastrointestinal Endoscopy Unit, São Paulo University Medical School, 05403-900 São Paulo, SP, BrazilA 76-year-old woman, presenting with a 4-year history of progressive dysphagia, was submitted to endoscopic examination. The upper endoscopy revealed a proximal esophageal stricture and inflammatory mucosa associated with multiples small orifices in the esophageal wall, some of them fulfilled with white spots suggestive of fungal infection. This was a typical endoscopic finding of esophageal intramural pseudodiverticulosis, a benign and rare condition, related to chronic esophagitis and others comorbid states, such as gastroesophageal reflux disease or infectious esophagitis, diabetes mellitus, alcohol consumption, and achalasia. Dysphagia is the predominant symptom and can be accompanied by esophageal stricture in 80% to 90% of patients. The pathogenesis is unknown, and as the pseudodiverticulosis is an intramural finding, endoscopy biopsies are inconclusive. The main histological finding is dilation of the submucosal glands excretory ducts, probably obstructed by inflammatory cells. The treatment consists in management of the underlying diseases and symptoms relief. In this particular case, the patient was submitted to antifungal drugs followed by endoscopic dilation with thermoplastic bougies, with satisfactory improvement of dysphagia.http://dx.doi.org/10.1155/2013/154767 |
| spellingShingle | Luciana Lopes de Oliveira Fred Olavo Aragão Andrade Carneiro Elisa Ryoka Baba Thiago Guimarães Vilaça Dalton Marques Chaves Everson Luiz de Almeida Artifon Eduardo Guimarães Hourneaux de Moura Paulo Sakai Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding Case Reports in Medicine |
| title | Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding |
| title_full | Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding |
| title_fullStr | Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding |
| title_full_unstemmed | Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding |
| title_short | Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding |
| title_sort | esophageal intramural pseudodiverticulosis a rare endoscopic finding |
| url | http://dx.doi.org/10.1155/2013/154767 |
| work_keys_str_mv | AT lucianalopesdeoliveira esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT fredolavoaragaoandradecarneiro esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT elisaryokababa esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT thiagoguimaraesvilaca esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT daltonmarqueschaves esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT eversonluizdealmeidaartifon esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT eduardoguimaraeshourneauxdemoura esophagealintramuralpseudodiverticulosisarareendoscopicfinding AT paulosakai esophagealintramuralpseudodiverticulosisarareendoscopicfinding |