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October 29, 2018

Image challenge: An unlikely lesion to be identified in the cervical esophagus

What caused a flat elevated lesion of irregular shape to appear in a 69-year-old patient with a history of acute hepatitis A?

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Gastroenterology clinical image challenge: A 69-year-old woman with a history of acute hepatitis A underwent esophagogastroduodenoscopy during an annual health check-up. The patient had no abdominal symptoms and laboratory test results were unremarkable. Esophagogastroduodenoscopy showed a slightly reddish mucosa in the cervical esophagus. A flat elevated lesion of irregular shape was identified in the distal side of the slightly reddish mucosa (Figure). Chromoendoscopy with indigo carmine demonstrated a clear demarcation line around the circumference of the lesion.

 

What is the diagnosis?

 

To find out the diagnosis, read the full case in Gastroenterology or download our Clinical Image Challenge app through AGA App Central, which features new cases each week. Sort and filter by organ, most popular or favorites. AGA App Central is available in both the Apple App Store and Google Play.

 

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