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Erschienen in:
04.08.2018 | Classics in Abdominal Radiology
The “shaggy esophagus”
Erschienen in: Abdominal Radiology | Ausgabe 1/2019
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The “shaggy esophagus” has been used to describe the appearance of severe Candida esophagitis, as seen on esophagography. An early description of this distinctive radiologic appearance occurred in 1960 by Kaufman et al. [1]. The esophageal mucosal contour is grossly irregular which is caused by numerous coalescent pseudomembranes and plaques with trapping of barium between them (Fig. 1) [2]. This appearance can be likened to shag carpet (Fig. 2). Candida esophagitis in its milder form is characterized by multiple linear longitudinal lesions that have a plaque-like appearance with adjacent areas of preserved normal mucosa [2].
Fig. 1
Two oblique barium swallow images of the proximal and mid esophagus demonstrating the “shaggy” appearance secondary to inflammation, ulcerations, and psuedomembranes seen in a patient with proven severe esophageal candidiasis
Fig. 2
Close-up image of shag carpeting mimicking the shaggy mucosal border of severe esophageal candidiasis
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