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Solid food dysphagia caused by aortic arch malformation compressing the esophagus
Revista Espanola De Enfermedades Digestivas
|September 21, 2023
Summary
A 66-year-old woman experienced dysphagia due to esophageal stenosis. Aortic arch compression caused the esophageal narrowing, confirmed by manometry and barium esophagram.
Area of Science:
- Gastroenterology
- Radiology
- Esophageal Motility Disorders
Background:
- A 66-year-old female patient presented with a history of solid food dysphagia.
- Initial gastroscopy showed esophageal distortion and mild middle-section narrowing.
Observation:
- High-resolution esophageal manometry revealed abnormal peristalsis with an "up-down symmetry phenomenon" during swallowing.
- The manometry catheter appeared curled in the upper esophagus, indicating a potential obstruction or anomaly.
Findings:
- Barium esophagram confirmed esophageal stenosis in the middle section, with a narrowest diameter of 2cm.
- Computed tomography revealed the aortic arch was compressing the esophagus, causing the localized lumen stenosis.
Implications:
- This case highlights aortic arch anomaly as a cause of extrinsic esophageal compression and dysphagia.
- Accurate diagnosis requires a combination of manometry, barium esophagram, and CT imaging.
- Understanding such anatomical variations is crucial for managing esophageal motility disorders.
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