Home Print this page Email this page Users Online: 116
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 


 
 Table of Contents  
IMAGE QUIZ
Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 83-87

Unusual cause of dysphagia


Department of Surgery, King Fahd Hospital of the University, University of Dammam, Dammam, Saudi Arabia

Date of Web Publication16-Nov-2016

Correspondence Address:
Yasser M Aljehani
Department of Surgery, King Fahd Hospital of the University, University of Dammam, Dammam
Saudi Arabia
Login to access the Email id

DOI: 10.4103/1658-631X.194247

Rights and Permissions
How to cite this article:
Aljehani YM, El-Ghoneimy Y. Unusual cause of dysphagia. Saudi J Med Med Sci 2017;5:83-7

How to cite this URL:
Aljehani YM, El-Ghoneimy Y. Unusual cause of dysphagia. Saudi J Med Med Sci [serial online] 2017 [cited 2017 Mar 26];5:83-7. Available from: http://www.sjmms.net/text.asp?2017/5/1/83/194247

This is a case of a 59-year-old woman who presented to the thoracic surgery clinic with dysphagia for several months. She is not known to have any medical illness. Her dysphagia started gradually for solids progressing to liquids over a period of several months. There were no constitutional symptoms over this period. Her surgical history was not contributory. Her physical examination was grossly unremarkable. The workup of her dysphagia was initiated; her laboratory investigations were within normal limits. The initial chest X-ray did not reveal a gross abnormality. Esophagogastroduodenoscopy showed evidence of external compression at the junction between the upper and mid-esophagus. Gastrografin study demonstrated an external compression of the esophagus [Figure 1]; computed tomography (CT) of the chest is shown in [Figure 2]a and [Figure 2]b.
Figure 1: Gastrografin study demonstrating the external esophageal compression

Click here to view
Figure 2: (a) Axial computed tomography cut demonstrating the origin of the aberrant right subclavian artery. (b) Sagittal computed tomography reconstruction demonstrating the posterior course of the aberrant right subclavian artery and its subsequent esophageal external compression

Click here to view



  Questions Top


  1. What is the abnormality seen on the chest CT scan?
  2. What is the possible embryological basis of such pathology?
  3. What are the general principles of management?




Click here to view answer. View Answer


 
  References Top

1.
Asherson N. David Bayford. His syndrome and sign of dysphagia lusoria. Ann R Coll Surg Eng 1979;61-67.  Back to cited text no. 1
    
2.
Levitt B, Richter JE. Dysphagia lusoria: A comprehensive review. Dis Esophagus 2007;20:455-60.  Back to cited text no. 2
    
3.
Panebianco V, Anzidei M, Catalano C, Passariello R. Dysphagia lusoria in combination with multiple congenital anomalies of the aortic arch. Eur J Cardiothorac Surg 2006;29:105.  Back to cited text no. 3
    
4.
Ota T, Okada K, Takanashi S, Yamamoto S, Okita Y. Surgical treatment for Kommerell's diverticulum. J Thorac Cardiovasc Surg 2006;131:574-8.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
  Questions
  Answers
  Answers
  Discussion
   References
   Article Figures

 Article Access Statistics
    Viewed195    
    Printed1    
    Emailed0    
    PDF Downloaded44    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]