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From ring to ring on the road to the eosinophilic abyss - a doubly complicated presentation of Eosinophilic oesophagitis!
From ring to ring on the road to the eosinophilic abyss - a doubly complicated presentation of Eosinophilic oesophagitis!
Sofia Bragança; Mónica Francisco; Henrique Costa Coelho; Fábio Pereira Correia; Filipa Bordalo Ferreira; Joana Carvalho E Branco; David Horta; Gonçalo Alexandrino
Hospital Professor Doutor Fernando Fonseca
We present the case of a 58-year-old patient admitted to the emergency department due to food impaction. Esophagogastroduodenoscopy (EGD) showed friable oesophageal mucosa, crepe-paper like, with fixed concentric rings (biopsies later confirmed eosinophilic oesophagitis diagnosis). Food impact was observed in the distal oesophagus which was removed. In the underlying mucosa, a 7mm laceration was identified which was closed with a hemoclip. Subsequently, a CT scan showed subcutaneous emphysema at the right supraclavicular region, without extravasation of oral contrast at oesophageal level. A conservative therapeutic approach was chosen with clinical success. He is currently in histological remission under PPI.
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