Matli Venkata Vinod Kumar, Devagudi Deepthi, Cooney Brian, Murthy Uma
Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
Department of Internal Medicine, West Anaheim Medical Center, Anaheim, California, USA.
Case Rep Gastroenterol. 2021 Sep 30;15(3):856-860. doi: 10.1159/000519197. eCollection 2021 Sep-Dec.
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.
胃肠道脂肪瘤病在胃肠医学文献中有报道，但食管脂肪瘤病此前从未有过报道。我们报告一例86岁男性患者，该患者有多种内科合并症，因社区获得性肺炎入住我院。其肺动脉计算机断层血管造影排除了肺栓塞的可能性，但显示食管近端有9毫米的环形壁增厚，测量值为-172 HU，其密度与脂肪组织相似。患者无症状，目前及既往均无吞咽困难或吞咽痛症状。食管钡餐造影无异常；无狭窄、肿块或黏膜异常。两种影像学检查均未发现食管扩张的证据。食管脂肪瘤病仅在放射学文献的少数病例报告中有描述，据我们所知，胃肠医学文献中根本没有相关报道。在胃肠医学文献中强调这是一种良性病变，不会引起症状，通常无需进行侵入性诊断或治疗干预非常重要。
