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Double Trouble: A Rare Case of Dual Esophageal Stenosis in a 4-month-old
Amar Shah1, Ria Sharma1, Anirudh Shah1
1Neonatal and Pediatric Surgeon, Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India.
Insights
Congenital esophageal stenosis (CES) is rare, affecting newborns. This case highlights a unique instance of a 4-month-old infant with multi-segment CES successfully treated with surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Genetics
Background:
- Esophageal stenosis is a rare condition causing esophageal narrowing, present from birth (congenital) or acquired later.
- Congenital esophageal stenosis (CES) occurs in 1 in 25,000-50,000 live births, often requiring early surgical intervention.
- Multi-segment involvement is an exceptionally rare variant of CES.
Observation:
- A 4-month-old infant presented with symptoms indicative of esophageal obstruction.
- Diagnostic evaluation revealed stenosis affecting two distinct segments of the esophagus.
- This presentation represents a rare anatomical variant of congenital esophageal stenosis.
Findings:
- Surgical intervention was successfully performed to address the multi-segment esophageal stenosis.
- The infant experienced a positive post-operative outcome.
- This case underscores the importance of thorough diagnostic evaluation for CES.
Implications:
- This case expands the understanding of congenital esophageal stenosis variants.
- Successful surgical management of multi-segment CES provides a potential treatment pathway.
- Further research into the etiology and management of rare CES variants is warranted.
Abstract:
Esophageal stenosis is an uncommon clinical condition defined as a fixed narrowing of the esophagus. It can be congenital or acquired. The incidence of congenital esophageal stenosis (CES) is 1 in 25,000-50,000 live births. Most of these patients present in early infancy and many of them require surgical intervention. We report a very interesting case of a 4-month-old child with esophageal stenosis involving two different segments of the esophagus who was successfully treated surgically. This is one of the rarest variants of CES which involves two different segments of the esophagus.
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