Ulcerated Helicobacter pylori negative gastric heterotopy in the upper esophagus causing foreign body sensation

Abstract

Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus. We describe herein the diagnosis and treatment of a patient with esophago-bronchial fistula caused by an heterotopic gastric mucosa patch in the mid esophagus. A 35-year old patient was referred to our department for further investigation of foreign body sensation in the upper esophagus for the last week. Upper gastrointestinal endoscopy showed an ulcer below the upper esophageal sphincter area and subsequent biopsies were compatible with Helicobacter pylori negative ulcerated heterotopic gastric mucosa. Further clinical and laboratory investigation was unremarkable. Patient was started on proton pump inhibitors and had resolution of symptoms within the first week of treatment. This is a rare case of foreign body sensation in the upper esophagus caused by ulcerated heterotopic gastric mucosa.