Scleroderma with oesophageal cancer and peptic stricture

Case contributed by Dr Andrew Dixon

Presentation

Long history of scleroderma. Barium swallow performed because of increasing dysphagia to solids.

Patient Data

Age: 60
Gender: Female

Images show food material within the upper thoracic oesophagus which is somewhat dilated.  Distal to this there is a 5 cm irregular narrowing of the mid thoracic oesophagus with proximal shouldering. Beyond this there is a short segment of non-strictured oesophagus before there is another 5 cm segment of smooth luminal narrowing extending to the gastro-oesophageal junction.

Case Discussion

Findings are consistent with oesophageal carcinoma of the mid thoracic oesophagus (irregular stricture) and peptic stricture of the lower oesophagus (smooth stricture).  These are recognised complications of scleroderma due to chronic gastro-oesophageal reflux related to reduced lower oesophageal sphincter tone.   

see also gastrointestinal manifestations of scleroderma

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Case Information

rID: 9907
Case created: 31st May 2010
Last edited: 7th Apr 2016
Inclusion in quiz mode: Included

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