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Spontaneous oesophageal perforation: an unreported complication of lymphocytic oesophagitis
  1. Peter J Hendy1,
  2. Timothy HJ Florin1,2
  1. 1 Gastroenterology Department, Mater Health Services, South Brisbane, Queensland, Australia
  2. 2 School of Medicine, University of QLD, Brisbane, Queensland, Australia
  1. Correspondence to Dr Peter Hendy, Gastroenterology Department, Mater Adult Hospital, 550 Stanley St, South Brisbane, QLD 4101, Australia; livepj{at}

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Lymphocytic oesophagitis, an only recently described pathological entity (Rubio et al 1 2006), was reviewed in Gut in 2012.2 Its histology is characterised by a predominantly peripapillary lymphocytic infiltrate in the oesophageal mucosa with the absence of significant granulocytes. Studies into over 200 patients with this condition2 ,3 including a recent letter by Ronkainen et al 4 2012, suggest that the clinical manifestations of this condition appear to be mild. Approximately half of patients with symptoms have gastro-oesophageal reflux, and two-thirds have dysphagia.3

Here we describe a spontaneous oesophageal perforation associated with lymphocytic oesophagitis. A previously well 35-year-old woman presented to the emergency department …

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  • Contributors TF identified and managed the case described as well as reviewing the letter. PH performed the literature review and drafted the letter.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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