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Unusual esophageal polyps in the context of advanced cirrhosis
Edgar Afecto, Adélia Rodrigues, Sónia Fernandes, João Carlos Silva, Catarina Gomes, João Carvalho
Centro Hospitalar de Vila Nova de Gaia e Espinho
Male sex, 55 years old. Past history of cirrhosis (Child-Pugh C; alcoholic and C virus etiology). He had several hospital admissions in the past year for decompensated cirrhosis (variceal bleeding, refractory ascites and portal vein thrombosis). Due to high suspicion of malignant portal thrombosis, he was submitted to several diagnosis tests including CT, MRI and hepatic biopsy, none of which confirmed the diagnosis.
He was subjected to an endoscopy in December due to an accidental caustic ingestion and we identified, in the distal esophagus, several congestive polypoid formations, with dimensions of 5-12mm. Histology was compatible with poorly differentiated hepatocellular carcinoma.
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