Summary:
This is a case report of a 57-year old farmer who presented with a 4 months history of dysphagia and weight loss. Upper
gastrointestinal endoscopy revealed submucosal swellings with overlying ulcers at mid to lower part of esophagus. Repeated
histopathological evaluation of endoscopic esophageal tissue biopsies showed nonspecific findings. Endoscopic ultrasound
showed a hypoechoic mass at submucosal layer with periesophageal lymphadenopathy. Endosonogram guided FNA materials
depicted caseating granulomas. Patient was managed with anti-tuberculosis therapy. Follow up endosonography after
therapy revealed resolution of the growth and the mediastinal lymph node enlargement and patient was symptomatically
improved.
(J Bangladesh Coll Phys Surg 2020; 38: 150-154)
DOI: https://doi.org/10.3329/jbcps.v38i3.47063