Henry M A, Mendes E F, Saad L H, Rodrigues P A, Gonçalves I
Departamento de Cirurgia e Ortopedia, Universidade Estadual Paulista, SP.
Arq Gastroenterol. 1996 Jan-Mar;33(1):26-8.
The authors report a case of a patient with complaint of progressive disphagia. Stenoses of lower third of esophagus was revealed by radiological and endoscopic examinations. Fungi were showed in biopsy of lesion, with demonstration of Histoplasm capsulate by tissue culture. Endoscopic dilatation was performed because especific medical treatment failed but esophageal rupture was observed. Partial esophagectomy was performed with symptoms remission.
作者报告了一例主诉进行性吞咽困难的患者。放射学和内镜检查显示食管下三分之一处狭窄。病变活检显示有真菌，组织培养证实为荚膜组织胞浆菌。由于特定的药物治疗失败且观察到食管破裂，遂进行了内镜扩张。部分食管切除术后症状缓解。
