Dysphagia lusoria

Case contributed by Dr Matthew Lukies

Presentation

Dysphagia

Patient Data

Age: 65
Gender: Female
Fluoroscopy
  • Smooth narrowing from possible external compression of the thoracic oesophagus
  • Mild oesophageal dysmotility

The narrowing in the upper oesophagus was favoured to represent compression from an aberrant right subclavian artery and CT chest was recommended to confirm the diagnosis.

CT

CT confirmation of an aberrant right subclavian artery passing posterior to and indenting the oesophagus.

Case Discussion

The diagnosis of dysphagia lusoria in this case was suspected on the barium swallow and confirmed on CT. The abberant right subclavian artery is passing posterior to the oesophagus, but may pass anterior to the oesophagus, either between the trachea and oeophagus or anterior to the trachea.

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Case information

rID: 46883
Case created: 21st Jul 2016
Last edited: 8th Aug 2017
Inclusion in quiz mode: Included

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