Abstract
The patient was a 36-year-old female hospitalized with massive hematemesis and intense pain of the larynx and chest. Translucent white-cord-like substances were vomited up during the initial examination. The pathological findings showed the substances to be a superficial layer of the esophageal mucosa, consisting of squamous epithelium. The cast was clean, uniformly grayish-white, parchment-like and quite free from any offensive odors. The patient recovered rapidly and completely. A superficial esophageal cast itself is rare but almost all cases tend to be accompanied with pemphigus vulgaris. The simple superficial esophageal cast accompanied with massive bleeding in this case is thus considered to be a very rare finding.
