Article Text

A rare cause of dysphagia in a young Caucasian man
  1. Paolo Cecinato1,
  2. Ramona Zecchini1,
  3. Maurizio Cavina1,
  4. Moira Ragazzi2,
  5. Romano Sassatelli1
  1. 1Unit of Gastroenterology and Digestive Endoscopy, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
  2. 2Unit of Pathology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
  1. Correspondence to Dr Paolo Cecinato, Gastroenterology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia 42123, Italy; paolocecinato{at}

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Clinical presentation

A 23-years-old Caucasian man was admitted to our institution for progressive weight loss and dysphagia. His past medical history was apparently unremarkable, including his laboratory tests, except for the presence of uninvestigated episodes of dysphagia he had since childhood.

The patient performed a barium oesophagogram which showed oesophageal dysmotility (figure 1A) followed by an oesophagogastroduodenoscopy, demonstrating the presence of multiple tubular duplications of the middle and distal third of the oesophagus, with a contextual stricture of the lumen crossable only with ultrathin endoscope (GIF XP160; Olympus, Tokyo, Japan) (figure 2 and see online supplementary video 1). The gastroduodenal mucosa appeared regular. Multiple biopsies of the proximal two-thirds of the oesophagus were performed. A thoracic CT scan, with …

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