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Dysphagia in a 27-year-old man
  1. A Seicean,
  2. R Stan
  1. Third Medical Clinic, University of Medicine and Pharmacy, Cluj-Napoca, Romania
  1. Correspondence to Dr A Seicean, Third Medical Clinic, Croitorilor Street 19–21, 400162 Cluj-Napoca, Romania; andradaseicean{at}yahoo.com

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Clinical presentation

A 28-year-old man was admitted to our hospital complaining of lower oesophageal dysphagia to solid food of 3 months duration. There was no weight loss or pain. Clinical examination on admission revealed no abnormal findings, and investigations showed no inflammation or anaemia. Barium swallow showed a lacunar image in the distal oesophagus, with normal surrounding folds, suggestive of a benign tumour (fig 1).Upper endoscopy showed a large submucosal tumour, covered by normal mucosa, situated just …

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