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Esophageal Bleeding and Radiational Esophagitis Presenting as Acute Gastroesophageal Junction Obstruction
Yilin Song1,2, Ivan Berezowski3, Romy Chamoun3
1Department of Internal Medicine, University of Maryland Medical Center Midtown Campus, Baltimore, Maryland.
None:
Acute gastroesophageal junction obstruction is an uncommon condition that can raise concern for malignancy. We report a case of spontaneous esophageal bleeding of a patient on chronic anticoagulation who received radiation therapy 4 months prior, presenting with sudden-onset intractable nausea, vomiting, and abdominal pain. Imaging demonstrated marked esophageal dilation with distal obstruction. Endoscopy revealed a large friable, near-obstructing esophageal mass with extensive clot burden. Repeated biopsies showed necrotic debris, inflammation, and fungal elements without malignancy. Endoscopic removal led to complete symptom resolution.
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