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- W4248921724 abstract "An otherwise healthy 78-year-old woman presented to our emergency department in Drama, Greece, with acute onset of haematemesis. She had no previous history of non-steroidal anti-inflammatory drug use, gastro-oesophageal reflux disease, or caustic injury. Oesophagogastroduodenoscopy showed a diffuse, circumferential, and white appearing oesophageal mucosa, with loss of rigidity in the middle and distal third of the oesophagus (figure 1). Histological examination showed evidence of atrophic mucosa, vascular injury, and ischaemic fibrosis. Oesophageal cultures were negative for fungi and mycobacteria. A chest CT scan showed a diffuse infiltrative soft tissue mass in the posterior mediastinum encasing the oesophagus, without evidence of pulmonary infiltrations, enlarged lymph nodes, or compression of the superior vena cava and pulmonary arteries (figure 2). A CT-guided mediastinal Tru-cut biopsy showed evidence of an almost avascular and acellular fibro-collagenous stroma. No clinical, serological, imaging, or histological findings of histoplasmosis, pulmonary tuberculosis, sarcoidosis, or intrathoracic malignancy were present. Figure 2Diffuse infiltrative soft tissue mass in the posterior mediastinum on chest CT scan View Large Image Figure Viewer Download Hi-res image" @default.
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- W4248921724 date "2018-06-01" @default.
- W4248921724 modified "2023-09-23" @default.
- W4248921724 title "White oesophagus" @default.
- W4248921724 doi "https://doi.org/10.1016/s2468-1253(18)30083-9" @default.
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