Endoscopy Cases

Case 24: A 45-Year-Old Man with Crohn’s Disease

Case 24: A 45-Year-Old Man with Crohn’s Disease History Diagnosis History This 45 year-old man with a four year history of Crohn’s disease was recently switched from a TNF-alpha inhibitor to an IL-12/IL-23 inhibitor, following treatment failure. A repeat colonoscopy for restaging revealed the following lesions – what explains this anatomical finding? Diagnosis These lesions …

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Case 26: A 78-Year-Old Woman with Persistent Chest Pain

Case 26: A 78-Year-Old Woman with Persistent Chest Pain History Diagnosis History This 78-year-old woman underwent an elective upper endoscopy following a one year history of dysphagia and intermittent chest pain. The following structure was visualized in the distal esophagus. What explains this phenomenon? Diagnosis This anatomical spiral finding (red arrow) is called corkscrew esophagus, …

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