Postendoscopic intraoral prolapse of a giant esophageal fibrovascular polyp

Fibrovascular polyp of the esophagus is a benign, slow-growing, intraluminal, submucosal tumor. When present in the upper esophagus, it may rarely prolapse through the mouth and may cause asphyxia because of acute airway obstruction. Here, we report a case of a giant fibrovascular esophageal tumor that prolapsed through the mouth during the removal of an upper gastrointestinal endoscope, inducing respiratory distress. Urgent nasotracheal intubation was performed, and the tumor was successfully removed surgically through a left transcervical approach under general anesthesia, thus saving the patient.