Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding and Clinical Review

Law, Jade; Haris, Muhammad; Garapati, Karthik; Echavarria, Juan

doi:10.14309/00000434-201810001-01735

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2021

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“…Rarely, dilatation of submucosal glands may appear as intramural pseudodiverticulum. 8,9 Although Candida has been reported to have a tendency of infiltration in the middle and distal thirds of the thoracic esophagus, the few cases describing monilial esophageal stricture (including ours) have involved stricture in the upper and middle thirds. 10 Esophageal stricture is a rare complication of Candida esophagitis.…”

Section: Discussionmentioning

confidence: 64%

Recurrent Candida-Associated Esophageal Strictures in an Immunocompetent Patient

et al. 2021

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Esophageal stricture due to Candida esophagitis is a rare complication reported among immunocompromised patients in only limited case reports. We describe a unique case of a 36-year-old man with chronic mucocutaneous candidiasis without underlying immunocompromise who experienced over 10 years of recurrent dysphagia due to esophageal strictures from candidiasis. His symptoms were initially believed to be due to eosinophilic esophagitis; however, numerous biopsies from the esophagus were negative for eosinophils. Several upper endoscopies, however, did reveal fungal elements consistent with Candida spp. He experienced recurring episodes of dysphagia and persistent esophageal stricture, requiring multiple antifungal courses and endoscopic balloon dilatations.

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Section: Discussionmentioning

confidence: 64%