A 74-year-old man presented for outpatient endoscopy because of dysphagia and the sensation of a mass in the back of his throat. Esophagogastroduodenoscopy demonstrated a soft tissue mass in the proximal esophagus that prolapsed into the hypopharynx on withdrawal of the endoscope. Complete airway obstruction ensued, requiring emergent tracheotomy. The patient was transferred to the hospital for further treatment. Surgical resection revealed a rare giant fibrovascular polyp, which may be associated with asphyxiation and sudden death.
From the Departments of *Anesthesiology, †Surgery, and ‡Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Accepted for publication March 18, 2014.
The authors declare no conflicts of interest.
Address correspondence to Karen S. Sibert, MD, Department of Anesthesiology, Cedars-Sinai Medical Center, 8700 Beverly Blvd., Room 8211, Los Angeles, CA 90048. Address e-mail to Karen.Sibert@cshs.org.