Bulimia Nervosa Leading to Squamous Cell Carcinoma of the Esophagus in a Young Adult

Bulimia nervosa is an eating disorder which is defined as binge eating which is followed by purging and inappropriately increased concern about one’s weight and body shape. We report a case of a 20 year old female who presented with a history of a dysphagia since 2 months. She had a history of binge eating disorder followed by a ritual of purging activity since six years. She also gave a history of increased concern about her weight and body shape. On endoscopy, a growth was seen on the esophagus, which upon biopsy showed features of squamous cell carcinoma.Thus, even in a young female, a simple psychological eating disorder might manifest as a malignancy. This emphasizes the need of early diagnosis and treatment of such innocent looking eating disorders to prevent serious complications in the future.