Ringlike esophageal peptic stricture

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Intermittent dysphagia, especially to solid food.

Patient Data

Age: 60
Gender: Female
Fluoroscopy

Circumferential constriction at the distal esophagus associated with hiatal hernia.

Case Discussion

A short segment of narrowing in the distal esophagus above a hiatal hernia is present. This esophageal peptic stricture could be mistaken for a Schatzki ring, but has a greater vertical height than a true lower esophageal ring.

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