PMC6139812_01
Multiple oesophageal abscess which surround the oesophagus from the uppermost part of it to the gastroesophageal junction (about 20cm). Although the oesophageal wall was poorly delimited, it seemed to be thickened, and a collection of pus can be seen in the subserosa, leaving the mucosal membrane apparently unaffected. No gas bubbles can be seen. Several little lymph nodes in the upper mediastinum.
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The second day after hospital ward admission the patient got clinically worse, and suffered presyncope with hypotension and accused tachycardia and tachypnea, with no other symptoms, so a thoracic computerised tomography (CT) scan was done (Fig. 1) showing multiple esophageal abscess which surround the esophagus from the uppermost part of it to the gastroesophageal junction (about 20cm).
Image of esophagogram (from left to right, cervical, thoracic and abdominal portion), showing a oesophageal wall with normal thickness and motility, with no evidence perforation.
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During his hospital stay study was completed with an esophagogram, showing an esophageal wall with normal thickness and motility, with no evidence perforation (Fig. 2).