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Three-dimensional magnetic resonance imaging of Kommerell diverticulum in a child with recurrent dysphagia

Alessandro Cannavale1, Marco Francone, Nicola Galea

  • 1Department of Radiological Sciences, University of Rome Sapienza, 324 Viale Regina Elena, 00161 Rome, Italy. alessandro.cannavale@hotmail.com

Journal of Pediatric Surgery
|October 6, 2010
PubMed

Insights

A rare congenital vascular anomaly, a right-sided aortic arch with aberrant left subclavian artery, was diagnosed in a young girl with feeding issues. This finding explains her recurrent swallowing difficulties.

Area of Science:

  • Cardiology
  • Pediatric Radiology
  • Congenital Heart Disease

Background:

  • Dysphagia and feeding difficulties in children can stem from various causes, including rare vascular anomalies.
  • Early diagnosis is crucial for effective management and preventing complications.

Observation:

  • A 3-year-old girl presented with a history of recurrent dysphagia and persistent feeding challenges.
  • Initial investigations included chest x-ray and esophagogram.

Findings:

  • Magnetic resonance imaging (MRI) identified a right-sided aortic arch.
  • An aberrant retroesophageal left subclavian artery originating from a Kommerell diverticulum was also detected.

Implications:

  • This anatomical variation can cause extrinsic esophageal compression, leading to dysphagia.
  • Accurate diagnosis via advanced imaging like MRI is essential for pediatric patients with unexplained feeding difficulties.

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