Abstract
A 31-year-old man had a long history of heartburn and a burning sensation at the back of his throat. Esophagogastroduodenoscopy showed an inlet patch in the midesophagus. An esophageal pH probe was nondiagnostic for acid in the esophagus. The patient underwent a Meckel’s scan, which confirmed persistent gastric-like secretion of Tc-99m pertechnetate, postswallowing with water, excluding saliva as a source. This finding in the esophagus on the Meckel’s scan obviated an unnecessary surgical procedure for his heartburn. FIGURE 1Fig. 1: The esophagogastroduodenoscopy shows the border of the inlet patch, an area of columnar mucosa proximal to the squamous mucosa normally found in the esophagus.FIGURE 2Fig. 2: The nuclear medicine scans show an area of increased uptake from technetium pertechnetate in the midesophagus, diagnostic of gastric mucosa (1).
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