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Dysphagia With Unusual Etiology: A Case Report
Nehemias A Guevara1, Jorge Sanchez1, Garry Francis-Morel1
1Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA.
Cureus
|July 7, 2023
Summary
This case study discusses a 73-year-old female with dysphagia and weight loss. A neck mass compressing the esophagus was found, highlighting rare causes of swallowing difficulties.
Area of Science:
- Medical Case Study
- Gastroenterology
- Otolaryngology
Background:
- Dysphagia is a significant symptom requiring prompt evaluation.
- Multiple etiologies can cause dysphagia, necessitating accurate diagnosis for effective treatment.
- Patient history included long-term smoking, a known risk factor for various conditions.
Observation:
- A 73-year-old female presented with dysphagia and unintentional weight loss.
- Imaging revealed a mass exerting external pressure on the esophagus.
- The specific cause of the esophageal compression was highly unusual.
Findings:
- Computed tomography (CT) scan identified an esophageal mass.
- The etiology of the mass was unexpected, deviating from common causes of dysphagia.
- This underscores the diagnostic challenge posed by rare conditions.
Implications:
- Physicians must consider rare etiologies when evaluating patients with dysphagia.
- Awareness of unusual causes is crucial for timely and appropriate patient management.
- This case emphasizes the importance of a comprehensive diagnostic approach.
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