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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 …
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.