Wegener's granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. Cases have been reported of intestinal perforation, ulceration and hemorrhage. A patient whose initial presentation of Wegener's granulomatosis was odynophagia secondary to esophageal vasculitis is described. Endoscopy revealed multiple punched out ulcerations in the esophagus, which resolved with standard therapy for systemic Wegener's granulomatosis. There are only two previous reports of symptomatic esophageal vasculitis in patients with Wegener's granulomatosis. These reports illustrate the need to consider odynophagia as a reflection of disease activity as opposed to complications of immunosuppressive therapy.

We report a case of granular cell tumor of the esophagus, transected with polypectomy snare. A 36-year-old white female showed on esophagoscopic examination a 1.5-cm pedunculated polyp, 10 cm proximal to the gastroesophageal junction. Nine months after removal of the tumor, the repeat endoscopy showed no signs of recurrence. To our knowledge, this is the second reported case of an endoscopically excised granular cell tumor of the esophagus.

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