PMC4062238_01
Barium swallow showing irregular narrowing in the distal esophagus (black arrow).
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F1
Barium swallow showed moderate fixed narrowing in the distal thoracic esophagus (Fig. 1).
Computed tomography showing thickening wall in the distal esophagus (white arrow) as well as the proximal stomach. Massive ascites was also shown.
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F2
Esophageal mucosa appeared to be normal (Fig. 2).
Upper endoscopy showing stricture was found in the lower esophagus starting at 35 cm and extending to 40 cm from the incisors with normal mucosa.
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F3
Computed tomography showed thickened distal esophagus and proximal stomach wall, mild intrahepatic biliary dilatation, massive ascites and right-sided hydronephrosis (Fig. 3).
Endoscopic ultrasound with a 12 MHz mini-probe showed thickened esophageal wall without normal esophageal wall layer pattern.
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F4
It showed approximately 10 mm thickened esophageal wall disruption of the normal esophageal wall layer pattern (Fig. 4).
Endoscopic ultrasound showing the esophageal wall thickening (white arrow) and EUS-guided fine needle aspiration (white arrow head) was done.
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F5
After confirming the absence of major blood vessels, EUS-FNA of thickened esophageal wall was performed with a 22- and 25-G needle (Fig. 5).