Fungal Esophagitis Presenting With Esophagitis Dissecans Sup
A 68-year-old male with history of alcohol abuse presented to the ED after syncope and fall. He denied abdominal pain, nausea, vomiting, difficulty swallowing, blood in the stool, change in bowel habits, or weight loss. He denied family history of colon cancer. Physical examination findings were unremarkable. Gastroenterology was consulted for evaluation of severe anemia; hemoglobin was 5.1 g/dL (baseline 10 g/dL) and fecal occult blood tested positive. Computed tomography (CT) scan of his abdomen was negative for retroperitoneal hematoma and revealed chronic pancreatitis and diffuse fatty infiltration of the liver. Patient was resuscitated with multiple packed red blood cell transfusions with a resulting hemoglobin of 10 g/dL.

Esophagogastroduodenoscopy (EGD) and colonoscopy were performed. EGD revealed multiple, large, linear peeling strips of superficial, white-colored sloughing in the entire esophagus, which appeared suggestive of EDS ....