Stuck on Pizza: A Case of Food Impaction

Explore the case of a young man with difficulty swallowing and food impaction. Endoscopy shows fixed esophageal rings. What is the underlying diagnosis?

Eosinophilic esophagitis


A 32-year-old man presented to the emergency department with difficulty swallowing oral secretions and the feeling that food was stuck in his throat after he ate a pizza roll. Upper endoscopy revealed the following image after food impaction was removed. This finding is associated with what underlying diagnosis?

What is the most likely diagnosis?

Gastroesophageal reflux disease
Crohn’s disease
Barrett’s esophagus
Eosinophilic esophagitis
Plummer Vinson syndrome

Dysphagia, Endoscopy, Eosinophilic esophagitis, Food Impaction, Trachealization

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