Answer for the Case Challenge – Case of a Woman with Solid Food Stuck in Her Throat – is option C. Mid-esophageal diverticulum. Though the presence of fibrovascular polyps (FP) arising immediately distal to the cricopharyngeus is a characteristic feature of fibrovascular polyps, the presence of dysphagia and diverticulum ostium, in the present case, favors the diagnosis of midesophageal diverticulum (MD). The case could easily have been misdiagnosed with fibrovascular esophageal polyp if the collapsed diverticulum ostium had been overlooked.
Further, the absence of mediastinal inflammation and underlying motility disorder, which are characteristic of MD, complicated the diagnosis. Additionally, the presence of leading lipoma is also non-characteristic of MD. Therefore, it is of utmost importance that the suspicion index is kept high in such cases and that the imaging modalities should…
