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An unusual cause of dysphagia
  1. Puneet Chhabra1,
  2. Ben Maher2,
  3. Rushda Rajak3,
  4. Bryan Green3,
  5. Nadeem Tehami1
  1. 1 Department of Hepatology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  2. 2 Department of Radiology, Southampton University Hospitals NHS Trust, Southampton, UK
  3. 3 Department of Pathology, Southampton University Hospitals NHS Trust, Southampton, UK
  1. Correspondence to Dr Puneet Chhabra, Department of Hepatology, University Hospital Southampton NHS Foundation Trust, Southampton SO166YD, UK; puneet.chhabra{at}uhs.nhs.uk

https://doi.org/10.1136/flgastro-2021-101966

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    An 84-year-old man was referred with dysphagia and significant weight loss for past 6 months. He worked as a laboratory worker, which involved industrial research. There was no history of cough, chest pain or respiratory distress. Gastroscopy demonstrated an oesophageal stricture at 34 cm from incisors (figure 1).Contrast-enhanced CT of the chest demonstrated wall thickening of the distal oesophagus (figure 2). Radial Endoscopic ultrasound demonstrated circumferential irregular thickening of the oesophageal wall (figure 3 …

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    Footnotes

    • Twitter @helpatologist

    • Contributors Conception and Design: PC. Analysis and Interpretation of Data: BM, RR, NT, BG. Drafting of the Article: PC, RR. Critical Revision: BM, NT, BG. Final Approval: PC,BM, RR, NT.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.