Endoscopic Finding of a Double Lumen in the Esophagus

We present a 45-year-old Caucasian woman with a history of multiple sclerosis who presented to the hospital with 4 weeks of epigastric pain, nausea, intermittent bilious emesis, and new jaundice. She reported daily intake of 2 –3 glasses of wine over the past 15 years. She denied recent travel or use of acetaminophen, herbal supplements, or any new medications. Laboratory results showed hemoglobin of 11.6 g/dL, white blood cell count of 16.0 × 103/μL, and a platelet count of 272 × 103/μL.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Clinical Challenges and Images in GI Source Type: research