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Dysphagia

, Volume 27, Issue 1, pp 145–147 | Cite as

An Uncommon Cause of Dysphagia

  • Abdul Khaliq
  • Rakesh KochharEmail author
  • Kim Vaiphei
  • Rashi Kochhar
  • Sreekanth Appasani
  • Kartar Singh
Clinical Conundrum
  • 323 Downloads

Case Details

A 65-year-old woman presented to a north Indian tertiary-care center with progressive dysphagia, loss of appetite, and loss of weight (12 kg) over 3 months. There was no history of odynophagia, fever, intake of caustic agent, or intake of any medication known to cause pill-induced esophagitis. She was a nonsmoker and a tee-totaller. There was no significant past history or any comorbid illness. There was no family history of malignancy. On examination she had a BMI of 19.4 kg/m 2 with no palpable lymphadenopathy or organomegaly. Her investigations showed normal renal and liver function tests. Her hemoglobin was 12.2 g% with an ESR of 46 mm/h. Her chest radiograph was normal and HIV serology was negative. She underwent an esophagogastroduodenoscopy which showed a punched-out ulcer with elevated edges at 26 cm from incisors (Fig.  1). Multiple biopsies taken from the ulcer and its edges were evaluated histologically (Fig.  2). She subsequently underwent a computed tomography...

Keywords

Endoscopic Ultrasound Esophageal Wall Esophageal Ulcer Aortopulmonary Window Subcarinal Lymph Node 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Disclosure

The authors have no conflicts of interest to disclose.

References

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Abdul Khaliq
    • 1
  • Rakesh Kochhar
    • 1
    Email author
  • Kim Vaiphei
    • 2
  • Rashi Kochhar
    • 1
  • Sreekanth Appasani
    • 1
  • Kartar Singh
    • 1
  1. 1.Department of GastroenterologyPostgraduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia
  2. 2.Department of HistopathologyPostgraduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia

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