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Esophagitis dissecans superficialis: Often underdiagnosed entity.
Fazil Mohammed1, Shiran Shetty1, Megha Murali2
1Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
The Journal of the Royal College of Physicians of Edinburgh
|February 25, 2025
Summary
Esophagitis dissecans superficialis (EDS) is a rare esophageal condition. This case highlights its endoscopic appearance and the importance of histopathology for accurate diagnosis.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Esophagitis dissecans superficialis (EDS) is a rare benign esophageal condition.
- It involves inflammation and epithelial changes, often overlooked during endoscopy.
Purpose of the Study:
- To present a case of EDS in an elderly male with comorbidities.
- To raise awareness of EDS and potential misinterpretation of endoscopic findings.
Main Methods:
- Case presentation of an 87-year-old male.
- Upper gastrointestinal endoscopy.
- Histopathological examination.
Main Results:
- Endoscopy revealed whitish, slough-like membranes in the midesophagus.
- Histopathology confirmed Esophagitis dissecans superficialis.
- The patient had severe iron deficiency anemia and a hiatus hernia.
Conclusions:
- EDS is a rare condition that can be missed during endoscopy.
- Mucosal irritants like medications, smoking, and alcohol are associated with EDS.
- Accurate diagnosis relies on histopathological confirmation.
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