Saudi Journal of Gastroenterology

CASE REPORT
Year
: 2009  |  Volume : 15  |  Issue : 3  |  Page : 193--195

Esophageal trachealization: A feature of eosinophilic esophagitis


Abdulrahman A Al-Hussaini1, Toufic Semaan1, Imad A El Hag2 
1 Department of Medicine, Children's Hospital, King Fahad Medical City, King Saud Medical Complex, Riyadh, Saudi Arabia
2 Department of Pathology, Children's Hospital, King Fahad Medical City, King Saud Medical Complex, Riyadh, Saudi Arabia

Correspondence Address:
Abdulrahman A Al-Hussaini
Children«SQ»s Hospital, King Fahad Medical City, P.O. Box 59046, Riyadh - 11525
Saudi Arabia

Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, «DQ»ringed esophagus«DQ». An 11-year-old Saudi boy presented with dysphagia for 1 year. He had experienced an intermittent sensation of solid food sticking in his chest, which was relieved by drinking liquids. A barium swallow excluded anatomical causes of dysphagia, but revealed multiple-ringed esophagus. Endoscopy showed a furrowing and trachealizing appearance of the entire esophagus. Hisologically, extensive eosinophilic infiltration was a feature in biopsies obtained from the esophagus. The child responded well to a 2-month course of inhaled fluticasone. Symptoms recurred 3 months after discontinuation of therapy, which necessitated resumption of inhaled fluticasone. The endoscopic appearance of multiple esophageal rings should raise suspicion of EE and be confirmed by esophageal biopsies.


How to cite this article:
Al-Hussaini AA, Semaan T, El Hag IA. Esophageal trachealization: A feature of eosinophilic esophagitis.Saudi J Gastroenterol 2009;15:193-195


How to cite this URL:
Al-Hussaini AA, Semaan T, El Hag IA. Esophageal trachealization: A feature of eosinophilic esophagitis. Saudi J Gastroenterol [serial online] 2009 [cited 2020 Oct 28 ];15:193-195
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=2009;volume=15;issue=3;spage=193;epage=195;aulast=Al-Hussaini;type=0