Perforated before Biopsy: A Case of Eosinophilic Esophagitis Complicated by Esophageal Perforation

Dysphagia occurs when there is a disruption is the swallowing mechanism. Patients with esophageal dysphagia often reports a sensation of feeling food boluses getting ‘lodged’ or ‘stuck’ during meals. In a young patient with recurrent dysphagia to solid food a mechanical etiology of dysphagia such as Eosinophilic esophagitis must be entertained. This is especially the case if patient has history of other atopic conditions such as asthma or atopic dermatitis. Conclusion: There is need for physicians to be aware of unusual etiologies of esophageal dysphagia such as eosinophilic esophagitis given the availability of treatment options which may reduce disease complication rates.