A 74-Year-Old Woman With Dysphagia: What Is Your Diagnosis by Endoscopic and Barium Swallow Finding?

نویسندگان

  • Jeong Woo Lee
  • Joong Goo Kwon
  • Eun Young Kim
  • Jin Tae Jung
  • Jimin Han
  • Ho Gak Kim
چکیده

CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Figure 1. (A) Upper gastrointestinal endoscopic finding shows a concentric ring-like mucosal narrowing just above the squamocolumnar junction. (B) Barium esophagogram shows focal luminal constriction through which a small amount of barium transit into the stomach. (C) The same area of the esophagus showing relative opening of the constriction. A 74-year-old woman visited the department of gastro-enterology by 4 months of dysphagia. Dysphagia was intermittent , nonprogressive and occurred with solid foods. The patient underwent an upper gastrointestinal endoscopy, which showed a clearly demarcated smooth concentric narrowing at 2 cm above the squamocolumnar junction (Fig. 1A). A barium swallow showed a focal smooth narrowing in the distal esophagus, with openings of variable diameter during the course of examination (Fig. 1B and 1C). What is your diagnosis by endoscopy and barium swallow finding? Considering a possibility of a muscular ring in the distal esophagus, endoscopic ultrasound examination with conventional radial echoendoscopy was performed. Focal thickening of inner circular muscle layer at 2 cm above the squa-mocolumnar junction was noted. Esophageal manometry was performed by standard techniques using a water-perfused cathe-ter system (Fig. 2). The lower esophageal sphincter pressure was 63.3 mmHg and relaxed completely with swallows. Postrelaxa-tion high-amplitude contractions of lower esophageal sphincter

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Esophageal Diverticula

Herein, we present the case of a 45-year-old woman with pulsion and midesophageal diverticula, who had complaints of dysphagia and regurgitation. Diagnosis was confirmed by endoscopy and barium swallow. The patient underwent right posterolateral thoracotomy with excision of diverticula and repair of the muscular layer along the site of diverticula. Five days following the operation, barium swal...

متن کامل

A case of mitral stenosis with achalasia.

A 65-year-old woman with rheumatic heart disease and severe mitral stenosis developed dysphagia. As her dysphagia could not be directly attributed to an enlarged left atrium, she underwent barium swallow, which established the diagnosis of achalasia. This case report shows two unrelated diseases present in the same patient which individually can cause dysphagia.

متن کامل

Surprising cause of dysphagia in an elderly male

A 73 year old man presented to his primary care physician with sudden onset dysphagia to solids and liquids. He urgently completed a barium swallow study showing what was believed to be a coin. Endoscopic removal subsequently revealed it was a lithium battery. Consequences and management of lithium battery ingestion are discussed.

متن کامل

Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report

INTRODUCTION Dysphagia is a common presentation in older people. Diffuse idiopathic skeletal hyperostosis affecting the cervical spine is an uncommon cause of dysphagia and may be overlooked. CASE PRESENTATION We present the case of an 88-year-old man with dysphagia and weight loss. Initial investigation with upper gastrointestinal endoscopy was inconclusive. A diagnosis of diffuse idiopathic...

متن کامل

Quiz : A middle aged lady with annular athrophic papules and plaques on her back: What is your diagnosis?

A 51 year old woman was referred to dermatology clinic with multiple asymptomatic erythematus papules and plaques on her back, which she had developed over the previous 2 months ago. In the dermatological examination, there were multiple atrophic papules with hypopigmented centers and sharp borders on her back, some of which were annular with elevated violaceous borders (Figures 1, 2). Fu...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2010