Trachealisation of the oesophagus in lymphocytic oesophagitis: an uncommon endoscopic presentation
Mohamed Maheen, Murshid Ali Hameed, Kashif Andrew, Mark R
Mohamed Maheen, Murshid Ali
Hameed, Kashif
Andrew, Mark R
Abstract
Lymphocytic oesophagitis (LyE) is a rare histopathological diagnosis with variable and often non-specific endoscopic features. Oesophageal rings and trachealisation are typically associated with eosinophilic oesophagitis but are uncommonly described in LyE. We describe a 79-year-old woman who presented with progressive dysphagia and unintentional weight loss. Endoscopic examination demonstrated trachealisation of the oesophagus, while histopathological evaluation confirmed florid lymphocytic oesophagitis with apoptotic keratinocytes. The patient exhibited only partial symptom relief with proton pump inhibitor (PPI) therapy; however, induction with swallowed budesonide resulted in marked clinical improvement and weight stabilisation. This case highlights an unusual endoscopic manifestation of LyE, expanding the recognised phenotypic spectrum of this entity and emphasising the essential role of histopathological evaluation in distinguishing oesophagitis subtypes
MIDER Authors
Date
2025-12-05
Type
Report
Subject
oesophagitis
Collections
Citation
Mohamed Maheen MA, Hameed K, Andrew MR. Trachealisation of the Oesophagus in Lymphocytic Oesophagitis: An Uncommon Endoscopic Presentation. Cureus. 2025 Dec 5;17(12):e98507. doi: 10.7759/cureus.98507.
Journal / Source Title
Cureus
DOI
10.7759/cureus.98507
PMID
41492614
Publisher
Cureus, Inc