Primary Esophageal B-Cell Lymphoma

Abstract

A 43-year-old man with a history of hemophilia and hepatitis C presented to an outside hospital with hematemesis and concomitant 6-g/dL drop in hemoglobin. He had a history of solid/liquid dysphagia and odynophagia during the last 6 months. Initial esophagogastroduodenoscopy (EGD) showed large blood clots in the proximal esophagus that obstructed the view. A computed tomography scan of the chest showed a heterogeneous density soft tissue mass within the lumen or arising from the wall of the esophagus, likely a clot distending.