Case presentation:

Robin presented to the emergency department with complaints of dysphagia, odynophagia, and food impaction in his esophagus. He denied weight loss, early satiety, decreased appetite, melena, hematemesis, nausea, vomiting, or abdominal pain. He had no history of seasonal allergies, asthma, or exposure to any inhaled allergens. He was consistently taking a proton pump inhibitor. Computed tomography of the neck and chest x-rays were unremarkable. Esophagogastroduodenoscopy was performed which revealed retained food bolus just proximal to an esophageal stricture at 35 cm that was approximately 12 mm in diameter. Biopsies performed were suggestive of eosinophilic esophagitis (EE) proximal to the stricture and Barrett's esophagus distal to the stricture. 1 (1a Pg1)