PMC5474254_01
Upper endoscopy at admission. The epiglottis appeared swollen with moderate mucosal injury (a). Diffuse edematous and friable mucosa with deep ulceration and hemorrhage from the upper (b) to mid-esophagus ((c) and (d)).
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The patient underwent upper endoscopy (Figure 1) and we detected diffuse edematous and friable mucosa with deep ulceration and oozing bleeding from the upper (Figure 1(b)) to mid-esophagus (Figures 1(c) and 1(d)). The epiglottis appeared swollen, although he did not complain of dyspnea (Figure 1(a)).
Chest computed tomography (CT). Transverse plain (a) and sagittal plain (b) images of the chest CT showed diffuse esophageal wall edema and thickening. However, esophageal perforation or mediastinitis was not detected.
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Chest CT revealed diffuse mild esophageal wall thickening (Figure 2).
Upper endoscopy after conservative treatment. Endoscopic finding one week after thermal injury ((a) and (b)). The epiglottis was nearly healed and diffuse ulcerative lesions of the esophagus were improving without more bleeding. Endoscopic finding one month after thermal injury ((c) and (d)). The epiglottis was completely healed and whitish scars were seen in the esophagus.
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Seven days after admission, endoscopy revealed that diffuse ulcerative lesions were improved with no more bleeding (Figures 3(a) and 3(b)). Endoscopy one month later showed mild scarring without stricture (Figures 3(c) and 3(d)), and he was free of symptoms.