case_images: PMC11128614_01
case_images: Patient's clinical course, including examinations and invasive treatments. EGD, esophagogastroduodenoscopy; UGI, upper gastrointestinal series; CT, computed tomography; US, ultrasonography, EBD, endoscopic balloon dilation.
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case_images: PMC11128614_01_fped-12-1305585-g001.jpg
case_images: F1
case_images: Figure 1 presents his clinical course, including examinations and invasive treatments.
case_images: Abdominal computed tomography (A), upper gastrointestinal series (B,C), and esophagogastroduodenoscopy findings (D-G). White arrow, lymphadenopathy; black arrow, hiatal hernia.
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case_images: PMC11128614_01_fped-12-1305585-g002.jpg
case_images: F2
case_images: Abdominal enhanced CT indicated no esophageal wall thickening, but it revealed the presence of enlarged lymph nodes around the esophagus (Figure 2A). His upper gastrointestinal (UGI) series revealed no obvious esophageal narrowing or dilatation but a hiatal hernia was noted (Figures 2B,C). Esophagogastroduodenoscopy (EGD) confirmed the hiatal hernia (Figures 2D,E) and also revealed severe mucosal erosion from the lower esophagus to the upper esophagus along with ulcer formation in some areas of the esophagus (Figures 2E-G).
case_images: Upper gastrointestinal series (A,B) and esophagogastroduodenoscopy findings (C-F) at the age of 1 year and 9 months. White arrow, ulcer; black arrowheads, esophageal stricture.
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case_images: PMC11128614_01_fped-12-1305585-g003.jpg
case_images: F3
case_images: UGI revealed obvious esophageal narrowing (Figures 3A,B) but EGD did not indicate any worsening of the hiatal hernia (Figure 3C). Moreover, ulcer formation was observed in the esophagus at the same location where scarring had been observed in the previous EGD (Figure 3D), and a stricture had appeared (Figures 3E,F).
case_images: Upper gastrointestinal series (A,B) and esophagogastroduodenoscopy findings (C-F) during endoscopic balloon dilation. Black arrowheads, esophageal stricture.
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case_images: F4
case_images: Further, 1 month later, esophageal balloon dilation was performed successfully under general anesthesia, and the esophageal stricture was successfully dilated (Figures 4A-E). Subsequent EGD revealed that the hiatal hernia had properly reduced (Figure 4F).