Abstract
An esophageal mucosal bridge presenting as a double esophageal lumen is reported. A 68-year-old woman who had been treated for ref lux esophagitis had hematemesis under-went emergency endoscopy which revealed severe reflux esophagitis with active bleeding and ulcer formation in the lower esophagus. Nine weeks after medical treatment, follow-up endoscopy disclosed a double eso-phageal lumen presenting as bifurcation of the trachea in the lower esophagus. Neither the biopsy forceps nor tef lon tube could pass through this pseudolumen. An esophagogram taken under endoscopy clearly demonstrated a definite double-barreled esophagus in the lower region. A diagnosis of esophageal mucosal bridge was made. While reports of esophageal mucosal bridge are increasing due to the advances in panendoscopy, most are visualized as a thin band, cord or spindle in shape. Esophageal mucosal bridge as documented in this paper is still extremely rare. This case, therefore, is considered noteworthy in its features.
