First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
- Author:
Nicolas WILLIET
1
;
Radwan KASSIR
;
Francois CASTEILLO
;
Violaine YVOREL
;
Cyril HABOUGIT
;
Xavier ROBLIN
;
Jean Marc PHELIP
Author Information
- Publication Type:Case Report
- Keywords: Esophageal fibrovascular polyp; Ultrasound endoscopy contrast enhancement; Polypectomy; Microvascularization
- MeSH: Endoscopy; Head; Hemorrhage; Microcirculation; Polyps; Ultrasonography
- From:Clinical Endoscopy 2019;52(2):186-190
- CountryRepublic of Korea
- Language:English
- Abstract: We described for the first time the contrast enhancement of a giant fibrovascular esophageal polyp using ultrasound contrast agent, Sonovue® (Bracco, Milan, Italy) during echoendoscopy. Fine Doppler was unsuccessful in showing vascularization due to the mobile characteristic of the tumor. In contrast, via Sonovue®, tissue microcirculation was highlighted inside the entire head of the polyp, leading to better appreciate the risk of bleeding related to its resection. In a second part, we showed the feasibility of classic polypectomy for this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in a video.
