| Anamnesis | 18 years old patient, who had after an abundant meat meal globus sensation, dysphagia, and regurgitation. He wasn´t able to drink liquids. | |
|---|---|---|
| Examination findings | No physical examination findings | |
| Laboratory | Unremarkable findings | |
| Endoscopy | EGD: White fibrous bolus in cardia. The bolus can be pushed into the stomach without significant pressure. In the area of the bolus, there is circular reddened mucosa of the oesophagus. |
The middle third of the eosophagus shows a thickened whitish mucosa with typical linear grooves. The pliers-biopsy leads to a strong burst of the mucosa. Significant hypomotility of the oesophagus.
Oesophagus mucosa with moderat florid chronic oesophagitis and more severe tissue eosinophilia.
| Diagnosis | Bolus in motility disturbances in eosinophilic oesophagitis | |
|---|---|---|
| DD | Secondary reactive oesophagitis in persistent bolus situation |