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Atypical esophageal vascular lesions observed in liver cirrhosis.

Authors
Type
Published Article
Journal
Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E
Publication Date
Volume
23
Issue
1
Identifiers
DOI: 10.1111/j.1442-2050.2009.01018.x
PMID: 19863641
Source
Medline
License
Unknown

Abstract

Chronic liver disease is known to be associated with several vascular alterations including portal hypertension and hepato-pulmonary insufficiency. We report a case of esophageal vascular lesions resembling spider naevi in a patient with nonalcoholic cirrhosis who underwent an upper gastrointestinal (GI) endoscopy. We observed the presence of multiple white round elevations, 5-6 mm in size, with radiating thin-walled vessels, in the middle and distal esophagus. The histological examination documented the presence of multiple dilated blood vessels in the mucosal layer of the esophagus, with striking thickening of the endothelium wall. There was no evidence of esophagogastric varices, but only of a moderate congestive antral gastropathy. To our knowledge, these endoscopic esophageal findings have not yet been described in cirrhosis.

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