Abstract
IntroductionEsophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of the submucosal glands.Case presentationWe present a case of esophageal intramural pseudodiverticulosis in a 72-year-old Caucasian man who presented with dysphagia and with a background history of alcohol abuse. An upper gastrointestinal endoscopy of our patient showed an esophageal stricture with abnormal mucosal appearances, but no malignant cells were seen at biopsy. Appearances on a barium esophagram were pathognomonic for esophageal intramural pseudodiverticulosis.ConclusionWe demonstrate the enduring usefulness of barium esophagography in the characterization of abnormal mucosal appearances at endoscopy.
Highlights
Esophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of the submucosal glands.Case presentation: We present a case of esophageal intramural pseudodiverticulosis in a 72-year-old Caucasian man who presented with dysphagia and with a background history of alcohol abuse
We demonstrate the enduring usefulness of barium esophagography in the characterization of abnormal mucosal appearances at endoscopy
Esophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of submucosal glands
Summary
Esophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of submucosal glands. Intramural pseudodiverticulosis is most commonly associated with gastrooesophageal reflux and esophagitis and less commonly with alcoholism, diabetes mellitus, Crohn's disease, tuberculosis, Mallory-Weiss syndrome and achalasia [3,4]. The average age at presentation is 54 years and patients typically present with dysphagia, which is frequently associated with stricture formation, as in case we describe here [3,4]. Case presentation A 72-year-old Caucasian man (height: 170 cm, weight: 85 kg) presented with a 4-year history of mild dysphagia for solid foods. His medical history was notable for alcohol abuse and associated alcoholic hepatitis.
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