A 63-year-old man presented with hematemesis, melena, dysphagia, and odynophagia was admitted to the GI unit. The patient gave a history of inguinal hernia repair 27 days ago and chest infection 17 days ago (suspected case of COVID-19). The patient underwent upper digestive endoscopy. The scope revealed acute ulcerative ( erosive) esophagitis# involving the lower and middle thirds sparing the area above the gastroesophageal junction.
https://youtu.be/C29JkcCzjuM
The differential diagnosis is esophagitis dissecans superficialis#.<iframe width="560" height="315" src="https://www.youtube.com/embed/C29JkcCzjuM" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
Comments
as the lesions and blood clots were large so I avoid washing. the patient responds to conservative TTT.the pt awaiting another followup endoscopy.
what abt acute necrotizing esophagitis.
yours,
Salem Yousef