Jensen Jonas Sanberg, Lindebjerg Jan, Jørgensen Lars Stig
Ugeskr Laeger. 2017 Feb 6;179(6).
We present the rare case of a proximal oesophageal stricture caused by a combination of oesophageal lichen planus without any other manifestations and intramural pseudo-diverticulosis, resulting in significant dysphagia. The diagnosis was not reached until a second set of biopsies were performed after split-dose treatment with proton pump inhibitors. Although local corticosteroid treatment was unsuccessful and symptomatic relief was only achieved after endoscopic dilatation, this case emphasizes the importance of adequate biopsies in the diagnosis of oesophageal strictures.
我们报告了一例罕见的近端食管狭窄病例，该狭窄由无任何其他表现的食管扁平苔藓与壁内假性憩室病共同引起，导致严重吞咽困难。在用质子泵抑制剂分剂量治疗后进行第二次活检才得以确诊。尽管局部皮质类固醇治疗未成功，仅在内镜扩张后才实现症状缓解，但该病例强调了充分活检在食管狭窄诊断中的重要性。
