Aqui pode conhecer as candidaturas seleccionadas pelo júri do Prémio de Imagem Endoscópica 2020 para votação pelos sócios.
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Esophageal Intramural Pseudodiverticulosis – a rare cause of dysphagia
Pedro Costa-Moreira, Eduardo Rodrigues-Pinto, Guilherme Macedo
Centro Hospitalar e Universitário de São João
Esophageal intramural pseudodiverticulosis is a rare condition, hypothesized to result from blockage of the excretory ducts of the submucosal glands, resulting in pseudodiverticula formation. Comorbidities potentially associated include GERD, eosinophilic esophagitis, alcoholism, candidiasis, malnutrition, and diabetes mellitus. A 59-year-old male patient with history of diabetes was referred due to dysphagia. Patient had been empirically treated for candidiasis. Upper endoscopy revealed multiple pseudodiverticula throughout the esophagus, with esophageal luminal narrowing transposable to the gastroscope without resistance. Biopsy specimens showed chronic inflammation. Barium esophagogram confirmed numerous outpouchings mainly in the middle esophagus. Clinical improvement was seen after beginning of proton pump inhibitors.
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