Esophagitis dissecans superficialis: Often underdiagnosed entity.

Abstract

Esophagitis dissecans superficialis (EDS) is a rare and benign innocuous esophageal condition characterised by inflammation and epithelial changes. Here, we present the case of an 87-year-old male with multiple comorbidities, including diabetes and coronary artery disease, who had severe iron deficiency anaemia and who required upper gastrointestinal endoscopy for evaluation. Endoscopy revealed whitish slough-like membranes in the midesophagus, along with a hiatus hernia. Histopathological examination confirmed EDS. EDS is often missed during endoscopy and is linked to mucosal irritants such as medications, smoking, alcohol and bullous skin conditions. We present this case to raise awareness about this rare condition and the possibility of misinterpreting endoscopic findings.