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Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 83-87

Unusual cause of dysphagia

Department of Surgery, King Fahd Hospital of the University, University of Dammam, Dammam, Saudi Arabia

Date of Web Publication16-Nov-2016

Correspondence Address:
Yasser M Aljehani
Department of Surgery, King Fahd Hospital of the University, University of Dammam, Dammam
Saudi Arabia
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DOI: 10.4103/1658-631X.194247

PMID: 30787763

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How to cite this article:
Aljehani YM, El-Ghoneimy Y. Unusual cause of dysphagia. Saudi J Med Med Sci 2017;5:83-7

How to cite this URL:
Aljehani YM, El-Ghoneimy Y. Unusual cause of dysphagia. Saudi J Med Med Sci [serial online] 2017 [cited 2021 Mar 8];5:83-7. Available from: https://www.sjmms.net/text.asp?2017/5/1/83/194247

This is a case of a 59-year-old woman who presented to the thoracic surgery clinic with dysphagia for several months. She is not known to have any medical illness. Her dysphagia started gradually for solids progressing to liquids over a period of several months. There were no constitutional symptoms over this period. Her surgical history was not contributory. Her physical examination was grossly unremarkable. The workup of her dysphagia was initiated; her laboratory investigations were within normal limits. The initial chest X-ray did not reveal a gross abnormality. Esophagogastroduodenoscopy showed evidence of external compression at the junction between the upper and mid-esophagus. Gastrografin study demonstrated an external compression of the esophagus [Figure 1]; computed tomography (CT) of the chest is shown in [Figure 2]a and [Figure 2]b.
Figure 1: Gastrografin study demonstrating the external esophageal compression

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Figure 2: (a) Axial computed tomography cut demonstrating the origin of the aberrant right subclavian artery. (b) Sagittal computed tomography reconstruction demonstrating the posterior course of the aberrant right subclavian artery and its subsequent esophageal external compression

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  Questions Top

  1. What is the abnormality seen on the chest CT scan?
  2. What is the possible embryological basis of such pathology?
  3. What are the general principles of management?

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  References Top

Asherson N. David Bayford. His syndrome and sign of dysphagia lusoria. Ann R Coll Surg Eng 1979;61-67.  Back to cited text no. 1
Levitt B, Richter JE. Dysphagia lusoria: A comprehensive review. Dis Esophagus 2007;20:455-60.  Back to cited text no. 2
Panebianco V, Anzidei M, Catalano C, Passariello R. Dysphagia lusoria in combination with multiple congenital anomalies of the aortic arch. Eur J Cardiothorac Surg 2006;29:105.  Back to cited text no. 3
Ota T, Okada K, Takanashi S, Yamamoto S, Okita Y. Surgical treatment for Kommerell's diverticulum. J Thorac Cardiovasc Surg 2006;131:574-8.  Back to cited text no. 4


  [Figure 1], [Figure 2]


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