Abstract
An esophageal mucosal bridge is a rare finding that is seldom encountered on upper endoscopy. They most commonly present secondary to an underlying inflammatory disorder and cause chest pain and dysphagia, among other symptoms. More rarely, they present asymptomatically with no identifiable inflammatory conditions. Our case consists of a 31-year-old woman who presented with an asymptomatic, noninflammatory mucosal bridge of the esophagus. To our knowledge, this makes the third such case. The rarity of this condition coupled with the lack of epidemiologic data available make this case worthy for literature review.
Highlights
Mucosal bridges are linear extensions of smooth muscle that connect across the lumen of the gastrointestinal tract
The resulting connection gives the appearance of a “double lumen” or “pseudo-carina” when visualized on upper endoscopy.[1]
Esophagogastroduodenoscopy and colonoscopy were completed, and no pathology was found toward anemia
Summary
Mucosal bridges are linear extensions of smooth muscle that connect across the lumen of the gastrointestinal tract. The patient denies any fevers, headache, nausea, vomiting, abdominal pain, diarrhea, constipation, bright red blood per rectum, or heavy menstruation. She claimed she is compliant with her medications. Esophagogastroduodenoscopy revealed a mucosal bridge across the lower third of the esophagus giving the appearance of “pseudo-carina” (Figures 1 and 2). Esophagogastroduodenoscopy and colonoscopy were completed, and no pathology was found toward anemia We concluded that this mucosal bridge could be a congenital anomaly or that arising from a prior unrecognized (and healed) HIV-related opportunistic infection(s). The patient is followed-up by hematology to diagnose the etiology and treat anemia
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