{
  "abstract": "An 82-year-old man with alcohol-related cirrhosis (Child-Pugh class B), complicated by portal hypertension and a history of partial gastrectomy with Billroth I reconstruction for duodenal ulcer disease, underwent surveillance upper gastrointestinal endoscopy (UGE). UGE revealed large oesophageal varices and a 20-mm exophytic, infiltrative, ulcerated lesion located 40 cm from the dental arch ( figure 1A). Histological evaluation of endoscopic biopsies was inconclusive. Endoscopic ultrasound demonstrated a heterogeneous, amorphous lesion with poorly defined margins and disruption of all layers of the oesophageal wall (figure 1B, C). Multiple large oesophageal varices posed a significant haemorrhagic risk, precluding further biopsy. Contrast-enhanced CT showed parietal thickening of the distal oesophagus associated with extensive varices, limiting accurate lesion characterisation.",
  "authors": [
    {
      "affiliations": [
        "Gastroenterology Department, Hospital de Braga, Braga, Braga, Portugal"
      ],
      "name": "Joana Camões Neves"
    },
    {
      "affiliations": [
        "Gastroenterology Department, Hospital de Braga, Braga, Braga, Portugal",
        "University of Minho Life and Health Sciences Research Institute, Braga, Portugal"
      ],
      "name": "Dalila Costa"
    },
    {
      "affiliations": [
        "Gastroenterology Department, Hospital de Braga, Braga, Braga, Portugal",
        "University of Minho Life and Health Sciences Research Institute, Braga, Portugal"
      ],
      "name": "Carla Rolanda"
    }
  ],
  "title": "Appearances can be deceiving: an ulcerated oesophageal lesion",
  "uid": "1b883415-0d53-5594-b437-59c481e5226b"
}