Abstract
Esophageal stricture due to Cytomegalovirus (CMV) infection is an uncommon pathology, with most reported cases occurring in patients infected with human immunodeficiency virus. We report a case who presented with Odynophagia followed Dysphagia to solids gradually progressive from last 3 weeks with Total Dysphagia to solids and liquids on presentation. Endoscopic examination revealed a long esophageal stricture with a necrotic lesion but no typical CMV esophageal ulcers, with foreign body impaction in form of beans. Histology was positive for CMV. Dysphagia resolved after treatment with ganciclovir and serial esophageal dilations. We are presenting the first case of esophageal stricture due to CMV esophagitis in a young adult with chronic alcoholism and are reviewing current literature.
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