Cricopharyngeal bar

Case contributed by Dr Henry Knipe

Presentation

Dysphagia, vomiting.

Patient Data

Age: 50
Gender: Female

Barium swallow

Modality: Fluoroscopy

Smooth, prominent impression of the cricopharyngeus muscle at the level of C5/6 results in a stenosis and jet of contrast. Anterior mucosal irregularity relates of a submucosal venous plexus often present at this level. 

Case Discussion

  • cricopharyngeal bars are relatively common on barium swallows
  • mostly asymptomatic with dysphagia resulting from a different pathology (as in this case from thoracic oesophageal dysmotlity)
  • associated with gastro-oesophageal reflux disease and Zenker's diverticulum
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Case Information

rID: 31383
Case created: 6th Oct 2014
Last edited: 30th Aug 2015
Inclusion in quiz mode: Included

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