An Uncommon Cause of Dysphagia
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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...
KeywordsEndoscopic Ultrasound Esophageal Wall Esophageal Ulcer Aortopulmonary Window Subcarinal Lymph Node
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The authors have no conflicts of interest to disclose.
- 1.Carr DT, Spain DM. Tuberculosis in a carcinoma of the esophagus. Am Rev Tubercul. 1942;46:346–9.Google Scholar
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