Esophageal tuberculosis presenting with hematemesis

Figure 1 Esophagogastroduodenoscopy showing eccentric ulcerative lesion involving 50% of circumference of the esophagus (white arrow).

Figure 2 Computerised tomography of the thorax showing thickening of the mid-esophagus (red arrow) along with Ryle’s tube in situ (white arrow). Right sided pleural effusion seen (blue arrow).

Figure 3 Histopathological examination of esophageal ulcer biopsy showing epitheloid cell granulomas (red arrows) with caseation (black arrow) in the exudate suggestive of esophageal tuberculosis (HE stain x 10).

Figure 4 Esophagogastroduodenoscopy after 6 mo of anti-tuberculosis therapy showing resolution of esophageal ulcer along with scarring (red arrow) and mucosal tags (white arrow).