A 68-year-old woman, diagnosed with systemic lupus, with a clinical history of progressive esophageal dysphagia of two months duration and frequent episodes of food resurgence, erythematous with a height of 10 kg. Chest CT showed dilation of the esophageal lumen cm
The EGD detected a saccular image of 4.5 x cm diameter in the middle third of the esophagus and decreased intraoral caliber with slowing of the passage of the barium contrast in this location.
The endoscopic study identified a large esophageal diverticulum 25 cm from the dental arch, with food remains inside it, compressing the esophageal lumen.
Esophageal biopsies were compatible with AA amyloidosis.
