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Images in Thorax
Gut–lung axis: discomfort, dysphagia and cough
  1. Chen Chen Liu,
  2. Wu Cai
  1. Department of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China
  1. Correspondence to Wu Cai, Department of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou 215002, China; xwg608{at}

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A 41-year-old woman attended hospital with a 2-week history of a post-prandial, left upper abdominal pain. The patient underwent upper gastrointestinal endoscopy, and multiple round oesophageal submucosal lesions (figure 1A) were observed. On ultrasound, these abnormalities were echoless and were identified as outside the oesophageal wall with blood flow detected by colour Doppler flow imaging. Moreover, one of the lesions was connected to the aorta (figure 1B). There were no other abnormalities reported by the patient in terms of medical history and, in particular, there was no history of genetic disease. The rest of the physical examination and laboratory tests did not reveal any clinical anomalies, although the patient reported a 10-day history of cough and dysphagia 2 months previously, at which time a chest CT scan showed no obvious cause.

Figure 1

(A) Upper gastrointestinal endoscopy showing multiple round lesions …

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  • Contributors C-CL and WC conceived the idea for the article. C-CL drafted the manuscript. WC approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.