Year: 2018
Type: article
Study design: Case Report
Abstract: CLINICAL IMAGE Esophagitis dissecans superficialis and rectal adenocarcinoma 123 which showed erosions and sheets of sloughed mucosa from the incisors to the gastroesophageal junction, suggestive of esophagitis dissecans superficialis (EDS), later confirmed on histopathological examination (FIGURE 1D).Her medication was discontinued, and she was treated with pantoprazole, dexamethasone, and sucralfate.Direct immunofluorescence (DIF) staining was negative, with no observed reactants to immunoglobulins IgA, IgG, and IgM or complement C3.There was no clinical improvement and parenteral nutrition was necessary.Repeated endoscopy findings were identical; viral and fungal esophagitis were ruled out.A colonoscopy, prompted by acute hematochezia, was performed.A rectal mass was found, confirmed to be adenocarcinoma on pathological examination.Palliative care was provided.The patient died in the hospital, without regaining oral feeding.EDS is a rare endoscopic finding characterized by sloughing fragments of necrotic esophageal A 91 -year -old woman presented with buccal bleeding, odynophagia, and epigastric pain aggravated by food intake.She reported an unintentional weight loss of 8% in the previous months but no other symptoms.Oral examination revealed hemorrhagic erosions and areas of desquamation in the tongue and buccal mucosa (FIGURE 1A).No ocular, cutaneous, or genital lesions were observed, and there was no history of caustic substance ingestion or the use of medication other than simvastatin and clopidogrel.The patient underwent esophagogastroscopy (FIGURE 1B and 1C),
DOI: 10.20452/pamw.4392
Authors: Raquel Barreira, Blandina Costa, João Carlos Silva, Antónia Furtado, Cristina Pinto
Institution: Centro Hospitalar de Vila Nova de Gaia
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2903812554