Multimodal imaging in choroidal metastasis from primary adenocarcinoma of the esophagus: a case report

Adenocarcinoma of the esophagus is an extremely rare cause of choroidal metastasis. We report a case of a 53-year-old male with a six-month history of weight loss and two months of solid dysphagia, who presented with acute vision loss of his right eye, of 2 days of evolution. Ophthalmologic examination revealed bilateral choroidal masses associated with exudative retinal detachment in the right eye. Gastroduodenoscopy revealed a mass in the distal esophagus and endoscopic biopsy evidenced esophageal adenocarcinoma. The systemic study disclosed multiple pulmonary and liver metastatic nodules and enlarged thorax and abdomen lymph nodes. Systemic palliative chemotherapy was started, and specific ophthalmological treatment was ruled out given the patient’s situation. Choroidal metastasis of esophageal adenocarcinoma is a very rare cause of metastasis and there are very few cases reported until present in literature.