Esophageal ulceration mimicking malignancy in a patient with severe kyphoscoliosis.

observed nowadays. In affected patients dislocation of inner organs with functional impairment may occur [1,2]. We present the unusual case of a patient with severe kyphoscoliosis who developed extensive esophageal ulceration. An 83-year-old female presentedwith a 3week history of dysphagia, odynophagia, and nocturnal food regurgitation. She reported weight loss of 5 kg during the previous 3 weeks. Physical examination revealed severe kyphoscoliosis, which was additionally documented by chest radiography (●" Fig. 1). Upper gastrointestinal endoscopy was performed and a huge, irregular mass was detected in the upper part of the esophagus, mimicking a malignant tumor (●" Fig. 2). After the detritus had been removed, a large circumferential ulcer was visible (●" Fig. 3). Biopsymaterial obtained from the lesion showed chronic unspecific ulceration with no signs of malignancy (●" Fig. 4). Adverse effects of oral medication were ruled out by careful interrogation of the patient, and mechanical ulceration due to alimentary bolus obstruction was taken as the most probable cause. Parenteral nutritionwas startedwith careful initiation of oral nutrition after 1week; the patient was also instructed on approEsophageal ulceration mimicking malignancy in a patient with severe kyphoscoliosis