case_images: PMC9030344_01
case_images: Ultrasonography abdomen done at right hypochondrium in the transverse plane (a), and epigastrium in sagittal/longitudinal plane (b) showing a heterogeneously hypoechoic intraluminal mass in the stomach (curved arrow), intraluminal air/fluid (arrow), and infiltration in the liver parenchyma (arrowhead)
case_images: JMU-30-47-g001.jpg
case_images: PMC9030344_01_JMU-30-47-g001.jpg
case_images: F1
case_images: On USG [Figure 1 and Video 1], a large heterogeneously hypoechoic exophytic mass was seen filling the lumen of the stomach with no obvious vascularity on Doppler.
case_images: Upper gastrointestinal barium study in anteroposterior erect (a), right posterior oblique (b), and left posterior oblique (c) view showing a filling defect in the lower esophagus (solid white arrow) and upper stomach (solid black arrow). Note the normal-appearing barium column between two filling defects
case_images: JMU-30-47-g002.jpg
case_images: PMC9030344_01_JMU-30-47-g002.jpg
case_images: F2
case_images: On the oral barium examination (barium swallow and meal) Figure 2, a filling defect was seen in the lower esophagus at the 8th and 9th thoracic vertebrae levels.
case_images: Axial contrast-enhanced computed tomography at the level of the lower esophagus (a), the stomach (b and c), and coronal contrast-enhanced computed tomography (d) showing heterogeneously enhancing esophageal (arrow) and gastric mass lesion (curved arrow) with adjacent liver infiltration (arrowhead)
case_images: JMU-30-47-g003.jpg
case_images: PMC9030344_01_JMU-30-47-g003.jpg
case_images: F3
case_images: For further imaging workup, contrast-enhanced computed tomography (CECT) of the abdomen and thorax was performed [Figure 3].
case_images: Upper gastrointestinal endoscopy images showing ulcero-proliferative growth involving distal esophagus (a) and proximal as well as mid gastric body (b)
case_images: JMU-30-47-g004.jpg
case_images: PMC9030344_01_JMU-30-47-g004.jpg
case_images: F4
case_images: On upper GI endoscopy [Figure 4], a small proliferative growth was seen in the lower esophagus (D8-9 level) with luminal narrowing, and the scope was negotiable.
case_images: Histopathology examinations showing squamous epithelium of esophagus with neoplastic tissue (H and E, x4 [a]), necrosis [H and E, x10 [b]), polygonal cells with vesicular chromatin, and occasional nucleoli [H and E, x40 [c])]. AB-PAS stain (d) showing no intracellular mucin
case_images: JMU-30-47-g005.jpg
case_images: PMC9030344_01_JMU-30-47-g005.jpg
case_images: F5
case_images: Histopathological examination [Figure 5] showed an infiltrating tumor of squamous origin with large polygonal cells in sheets and nests from both the lesions.