PMC4435379_01
(A) Mid-esophageal irregular stricture with multiple small outpouchings filling with oral contrast. The neck for each outpouching is imperceptible, resulting in an extraluminal appearance of each pseudodiverticulae. (B) A 13-mm barium pill failed to pass through the proximal portion of the stricture involving the entire mid-esophagus (arrows).
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F1
The 13-mm barium pill failed to traverse the stricture (Figure 1).
Upper endoscopy showing (A) thick stricture and multiple intramural pseudodiverticuli and (B) thickened, scarred mucosa after Savary dilation.
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F2
The mucosa appeared pale and thick with pitting and scars (Figure 2). The mid-esophagus from 28 to 35 cm from the incisors had a thick stricture with multiple intramural pseudodiverticuli and occasional white punctate exudate (Figure 2).