Abstract
The patient is a 16-year-old girl diagnosed as having dwarfism and chronic mucocutaneous candidiasis three years prior to the present illness. Recently she had been treated for pneumonia, and liver dysfunction was found without symptoms of digestive system. Computed tomography performed for evaluation of the liver showed thickening of of the lower esophageal wall. Endoscopic examination showed the mucosal bridge connecting the anterior and posterior walls of the lower esophagus, with reddening and erosive mucosa. Sliding hernia and gastric ulcer in the lesser curvature of gastric cardia was found. Multiple biopsies of the lower esophageal mucosa under endoscopic guidance showed severe esophagitis without Candida. It was presumed that the mucosal bridge in this case was caused by reflux esophagitis. The second endoscopic examination showed persistent mucosal bridge after four months. Esophageal mucosal bridge is a very rare finding, and it is hypothesized that the mucosal bridge is formed in the healing processes of inflammatory lesions or ulcerations.
