case_images: PMC10810598_01
case_images: (A) Barium swallow study showing midesophageal narrowing. (B) Endoscopic visualization of the midesophagus showing narrowing of the esophageal lumen. (C) Endoscopic visualization of the gastric antrum and pylorus showing inflammation of the mucosa and a gastric polyp (black arrow). (D) Hematoxylin and eosin stain of esophageal biopsy showing intraepithelial eosinophilia (black arrows) consistent with eosinophilic esophagitis.
case_images: ac9-11-e01252-g001.jpg
case_images: PMC10810598_01_ac9-11-e01252-g001.jpg
case_images: F1
case_images: A barium swallow study showed midesophageal narrowing in the same area of the known mediastinal lymphadenopathy (Figure 1). EGD was then performed and showed midesophageal luminal narrowing, inflammation of the gastric mucosa, and gastric polyp (Figure 1). Esophageal biopsy showed up to 42 intraepithelial eosinophils per high power field (Figure 1), and gastric biopsies revealed gastric intestinal metaplasia without increase in eosinophil infiltrate and negative immunohistochemical stains for Helicobacter pylori.