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Case Report

Watermelon Esophagus: A New Visual Paradigm

1
Tinsley Harrison Internal Medicine Residency Program, University of Alabama at Birmingham, AL, USA
2
Department of Gastroenterology and Hepatology, University of Alabama at Birmingham, AL, USA
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2015, 6(1), 6111; https://doi.org/10.4081/gi.2015.6111
Submission received: 13 July 2015 / Accepted: 10 November 2015 / Published: 31 December 2015

Abstract

A 35-year-old male with no prior medical history presented for evaluation of multi-year history of dysphagia to both solids and liquids. He underwent esophagogastroduodenoscopy revealing linear furrows with ring-like esophagus. Pathology of biopsies showed findings consistent with eosinophilic esophagitis (EoE). This is a newly recognized disease entity with a rapidly increasing prevalence that cannot be entirely accounted for by the increasing awareness in medicine. All patients with clinical suspicion of EoE should undergo esophageal biopsies regardless of endoscopic findings, as normal endoscopy can be seen in up to 17% of cases. Numerous non-specific endoscopic findings have been described, including trachealization, felinization, linear furrows, crepe paper mucosa, and longitudinal shearing. We present a unique and neverbefore seen image of EoE that accentuates the findings that may be seen endoscopically
Keywords: eosinophilic esophagitis; endoscopy; esophagus eosinophilic esophagitis; endoscopy; esophagus

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MDPI and ACS Style

Cowley, K.; Jennings, H.W.; Burski, C.; Passarella, M. Watermelon Esophagus: A New Visual Paradigm. Gastroenterol. Insights 2015, 6, 6111. https://doi.org/10.4081/gi.2015.6111

AMA Style

Cowley K, Jennings HW, Burski C, Passarella M. Watermelon Esophagus: A New Visual Paradigm. Gastroenterology Insights. 2015; 6(1):6111. https://doi.org/10.4081/gi.2015.6111

Chicago/Turabian Style

Cowley, Kevin, H. Whitney Jennings, Chad Burski, and Michael Passarella. 2015. "Watermelon Esophagus: A New Visual Paradigm" Gastroenterology Insights 6, no. 1: 6111. https://doi.org/10.4081/gi.2015.6111

APA Style

Cowley, K., Jennings, H. W., Burski, C., & Passarella, M. (2015). Watermelon Esophagus: A New Visual Paradigm. Gastroenterology Insights, 6(1), 6111. https://doi.org/10.4081/gi.2015.6111

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