An unsuspected cause of esophagitis and esophageal stenosis – Looking beyond endoscopy findings
Journal | Volume 83 - 2020 |
Issue | Fasc.3 - Clinical images |
Author(s) | J.C. Rocha da Silva 1, A.I. Louro da Ponte 1, A.C. Gomes 1, E.P. Afecto 1, J. R. Carvalho 1 |
Full article |
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Affiliations: (1) Centro Hospitalar Vila Nova de Gaia e Espinho, Department: Gastroenterology, Vila Nova de Gaia, Porto, Portugal.
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An 89-year-old woman was admitted to the ER with 1-week onset of odynophagia, vomiting and alimentary intolerance. She had medical history of hypertension, dyslipidemia and anemia, usually taking furosemide, perindopril, simvastatin and ferrous sulfate/folic-acid. Esophagogastroduodenoscopy (EGD) identified food impaction immediately distal to the upper esophageal sphincter (UES), which was easily mobilized to the stomach. In a second visualization a circumferential ulceration of the upper esophagus was observed (Figure 1a-b). The patient was discharged medicated with proton- pomp inhibitor twice daily and sucralfate. Soft diet was recommended. Keywords: Drug-induced-esophagitis, esophageal stenosis, ferrous sulfate. |
The authors declare that they have no conflict of interest. |
© Acta Gastro-Enterologica Belgica. PMID 33094605 |