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Updated: Jun 27, 2026
04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Esophageal sarcoidosis presenting as pseudodiverticulum
S Ohshimo1, D Theegarten, M Tötsch
1Medical Faculty, University of Duisburg-Essen, and Department of Pneumology/Allergy, Ruhrlandklinik, Essen, Germany.
Summary
Sarcoidosis rarely affects the gastrointestinal tract, but this case highlights unusual esophageal involvement presenting as a pseudodiverticulum. Myotomy successfully treated the stenosis, suggesting awareness of this rare manifestation in dysphagia patients.
Area of Science:
- Gastroenterology
- Pulmonology
- Immunology
Background:
- Sarcoidosis is a multisystem granulomatous disease with rare gastrointestinal involvement.
- Esophageal sarcoidosis is an exceptionally uncommon manifestation, often presenting with nonspecific symptoms.
Observation:
- A unique case of esophageal sarcoidosis mimicking a pseudodiverticulum is presented.
- The patient experienced progressive esophageal disease despite stable sarcoidosis in other organs.
- Pharyngoesophageal stenosis was the primary clinical complaint.
Findings:
- Surgical myotomy effectively alleviated the pharyngoesophageal stenosis.
- No recurrence of esophageal involvement was observed post-myotomy.
- Histopathological confirmation of sarcoid granulomas in the esophagus.
Implications:
- This case underscores the importance of considering esophageal sarcoidosis in patients with dysphagia.
- Physicians should maintain a high index of suspicion for rare gastrointestinal sarcoidosis manifestations.
- Early diagnosis and appropriate management, such as myotomy for stenosis, can improve patient outcomes.
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