Abstract
Question: A 44-year-old man with a history of gastroesophageal reflux disease initially presented to an outside hospital emergency department with worsening of his symptoms. Over the next several months he developed mid-back pain, odynophagia, and dysphagia to solids and occasionally liquids, resulting in a 30-pound weight loss. A computed tomography (CT) examination of the chest, abdomen, and pelvis demonstrated marked wall thickening of the distal esophagus causing luminal narrowing. Follow-up esophagogastroduodenoscopy (EGD) 2 weeks later revealed a 6-cm mass in the lower esophagus causing partial obstruction.
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