Oesophageal bolus obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Eating roast dinner (lamb) overnight. Meat now feels "stuck" in upper oesophagus. Unable to swallow Coke or water. Continuously vomiting. No previous symptoms.

Patient Data

Age: 65
Gender: Male
CT

Localised food bolus with associated fluid level in the mid oesophagus at the level of the aortic arch.  No other cause is evident. Oesophagus is collapsed and empty more distally.

Case Discussion

Food bolus obstruction is usually due to underlying oesophageal pathology such as reflux stricture, carcinoma or mechanical stent for malignancy. Without underlying pathology the patient might be edentulous (i.e. unable to chew food adequately) or have impaired conscious state. In the past a barium study was the examination of choice but CT can now provide reasonable assessment prior to endoscopic removal. CT can also exclused perforation, i.e. the absence of extraluminal gas.

PlayAdd to Share

Case information

rID: 32633
Case created: 7th Dec 2014
Last edited: 4th Jul 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.