Abstract
The esophagus is rarely affected by Mycobacterium. A 75-y-old man presented with upper abdominal pain and significant weight loss for 2 mo. Contrast-enhanced CT, upper gastrointestinal endoscopy, and abdominal vessel angiography gave normal results. To clarify the facts, 18F-FDG PET/CT was performed, revealing an 18F-FDG–avid lesion in the posterior wall of the lower thoracic esophagus. On endoscopic ultrasound–guided fine-needle aspiration of this lesion, puslike material was released. On microscopic examination, acid-fast bacilli were noted. The patient then began receiving standard antitubercular therapy.
Footnotes
Published online Feb. 13, 2024.
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