Year 2025 / Volume 117 / Number 4
Letter
Dysphagia and stenosis secondary to intramural esophageal pseudodiverticulosis

228-229

DOI: 10.17235/reed.2024.10282/2024

Carlos Boix Clemente, Laura Peño Muñoz, Lidia Martí Romero, Gloria Alemany Pérez, María Dolores Pérez Zahonero, Pablo Olcina Domínguez, Vanesa Martínez Escapa, Clara Navarro Peiró,

Abstract
We present the case of a patient with smoking, alcoholism, cirrhosis and HIV who was endoscopically diagnosed with esophageal candidiasis due to an episode of dysphagia. After treatment with antifungals and PPIs, the patient remained asymptomatic for almost 3 years. He presented an event of food impaction that was resolved by an upper endoscopy in which an esophageal stenosis and multiple esophageal pseudodiverticulosis were visualized. The biopsies only showed chronic nonspecific esophagitis. The stenosis was dilated with a balloon and PPIs were continued, with good response. Esophageal intramural pseudodiverticulosis is rare and can lead to motor disorders and strictures. It has a doubtful association with HIV and a clearer relationship with alcoholism, smoking, diabetes, reflux and candidiasis. The endoscopic diagnosis can be difficult so in order to make an accurate diagnosis is necessary an esophagram or CT. Treatment is based on controlling risk factors and dilating stenosis. The prognosis is usually favorable.
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References
1- Plaza R, Barreiro A, Lorente R, et al. Pseudodiverticulosis esofágica intramural: una causa poco frecuente de disfagia. Rev Esp Enferm Dig. 2014; 106(6): 411-412.
2- Blum-Guzman JP, Velocci V, Munoz JC. Esophageal intramural pseudodiverticulosis with tract formation, without evidence of candidiasis, in a patient with HIV infection. Clin Gastroenterol Hepatol. 2016; 14: e91-e92.
3- Biagioni M, Olmos JI, Antelo P. Disfagia por seudodiverticulosis esofágica intramural: inusual hallazgo endoscópico. Gastroenterol Hepatol. 2018; 41(8): 506-507.
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Citation tools
Boix Clemente C, Peño Muñoz L, Martí Romero L, Alemany Pérez G, Pérez Zahonero M, Olcina Domínguez P, et all. Dysphagia and stenosis secondary to intramural esophageal pseudodiverticulosis. 10282/2024


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Publication history

Received: 17/01/2024

Accepted: 27/01/2024

Online First: 12/03/2024

Published: 03/04/2025

Article Online First time: 55 days

Article editing time: 442 days


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