Oesophageal stricture and pseudodiverticulosis

Case contributed by Dr. Nathan Manning

Presentation

Recurrent dysphagia on a background of previous oesophageal dilatations for idiopathic stricture.

Patient Data

Age: 39
Gender: Male

Liquid contrast traverses the oesophagus quickly, however, there is an area of persistent narrowing at around the level of the thoracic inlet extending for approximately 7 cm. This has smooth shoulders and no definite ulceration. However, numerous pseudodiverticula are noted here and throughout the more distal oesophagus. No further strictures are identified and the gastro-oesophageal junction appears unremarkable.

There was considerable hold-up to contrast-stained marshmallow at the area of focal oesophageal narrowing (arrow). This likely accounts for the patient's symptomatology.

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Case information

rID: 53829
Case created: 8th Jun 2017
Last edited: 7th Aug 2017
Inclusion in quiz mode: Included

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