Aussie doctors incidentally spotted these speckles

They were looking for impacted food before discovering this in the patient's duodenum

While rooting around during an oesophagogastroduodenoscopy for a piece of impacted pork in their patient’s oesophagus, doctors happened upon a different, much more unusual, sort of pigmentation in his duodenum.

Speckled duodenal mucosa

The 83-year-old presented to a hospital in Newcastle, NSW, with the oesophageal obstruction and intermittent dysphagia lasting several months.

He had a history of stage 4 chronic kidney disease, hypertension and type 2 diabetes. His antihypertensive medications included