Related Experiment Video
Updated: Oct 4, 2025
08:45
Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
479
Dual esophageal compression secondary to two vascular abnormalities
Pedro Antonio Sánchez Fuentes1, José Ruiz Pardo1, Elisabet Vidaña Márquez1
1Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España.
Revista Espanola De Enfermedades Digestivas
|February 10, 2022
Summary
A 65-year-old male experienced esophageal compression due to Kommerell's diverticulum and aortic tortuosity. These vascular abnormalities caused a mechanical obstruction, confirmed by esophageal manometry and esophagogram.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- A 65-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented with pyrosis and regurgitation.
- Incidental CT scan findings revealed asymptomatic esophageal compression due to vascular abnormalities.
Observation:
- Proximal esophageal compression was attributed to Kommerell's diverticulum.
- Distal esophageal compression was caused by aortic tortuosity, creating an aortic kink.
Findings:
- Esophageal manometry indicated a distal obstructive pattern of mechanical origin.
- Esophagogram confirmed a proximal filling defect and a distal third esophageal bend.
Implications:
- This case highlights the importance of recognizing vascular abnormalities as a cause of esophageal compression.
- Understanding the mechanical origin of esophageal obstruction is crucial for diagnosis and management.
More Related Videos
Related Concept Videos
01:24Esophageal Varices-I: Introduction
421
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
421
01:28Esophageal Varices-II: Clinical Features and Management
168
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
168
01:28Esophageal Perforation-II: Clinical Manifestations and Management
166
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
166
01:26Esophageal Strictures-II: Clinical Features and Management
183
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
183
01:30Esophageal Strictures-I: Introduction
308
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
308
01:22Esophageal Perforation-I: Introduction
196
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
196