New or missed finding?
A 57-year-old
man underwent upper digestive endoscopy as a follow-up schedule for esophageal
varices. The patient gave a history of hematemesis and melena four months ago. The
patient underwent multiple endoscopies that revealed esophageal varices each
time band ligation of these varices was done. The patient gives a history of
chest problems; the patient is on a nebulizer every 12 hours and B2 stimulants.
By examination, there is bilateral lower limb edema, abdominothoracic breathing,
and bilateral chest rhonchi. Abdominal ultrasonography shows liver cirrhosis
and moderate splenomegaly. The patient was previously treated for HCV virus three
years ago. The current endoscopy revealed pan-gastropathy through the upper
digestive system with a lesion in the lower esophagus. It looks like an ulcer
or Barrett mucosa.
Question
Is this
finding a missed lesion or a newly appeared one?
Keywords: #digestive
endoscopy, chest rhonchi, #esophageal varices, lower esophageal lesion, #new
lesion, #missed lesion, اد سالم
يوسف#, مناظير
الجهاز الهضمى والكبد#
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