Lobular capillary hemangioma of esophagus mimicking Barrett's esophagus

A 30 year old male patient presented to the outpatient department of Gastroenterology with complaints of dyspepsia of 6 months duration associated with progressive dysphagia to solids and liquids. There was no noticeable loss of appetite but a history of loss of 8-10 kg weight was present. Occasional episodes of malena with pain abdomen were present. There was no response to medical treatment. On examination, the patient was thin built and pale. Endoscopy was done, which revealed nodular hyperemic mucosa seen circumferentially at the lower end of esophagus 35 cm from incisor teeth. A diagnosis of Barrett's esophagus was made and biopsy was taken. Histopathology revealed lobular capillary hemangioma of esophagus. Immunohistochemistry with CD34 confirmed the diagnosis of lobular capillary hemangioma. Surgical resection of the lesion was done.