Comprehensive endoscopic management of recurrent esophageal wall abscess revealing concomitant eosinophilic esophagitis

Esophageal wall abscesses (EWAs) are rare lesions often linked to post-traumatic or inflammatory causes. To date, no authors have described their association with a diagnosis of eosinophilic esophagitis (EoE). While typically managed surgically owing to expertise constraints, this approach carries invasive risks, including mediastinitis. Interventional endoscopy offers a less invasive alternative, aiding both comprehensive treatment and etiologic diagnostic evaluation. Here, we report a case of recurrent EWA post-surgical debridement, treated endoscopically via wall incision, purulent content aspiration, and complete abscess fenestration into the esophageal cavity. Surprisingly, endoscopy revealed concomitant EoE.