Korean J Gastrointest Endosc.  2009 Oct;39(4):248-251.

A Case of Esophageal Peptic Stricture Concomitant with Vascular Ring in Mid-Esophagus

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. hjpark21@yuhs.ac
  • 2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Esophageal strictures may result from common conditions such as gastroesophageal reflux disease. Dysphagia is by far the most common presenting complaint in patients with esophageal peptic stricture. Symptomatic peptic strictures are treated by dilatation via ballooning or bougienation. Vascular ring is a term given to a combination of vascular and often ligamentous structures that encircle the trachea and esophagus. Symptomatic vascular ring, also known as dysphagia lusoria, is generally treated by conservative management. However, surgery should be considered when symptoms persist regardless of the treatment. We experienced a case involving a 41-year-old man with dysphagia diagnosed with peptic stricture on upper endoscopy and concomitant vascular ring on chest CT, which proved asymptomatic.

Keyword

Peptic strictures; Vascular ring; Dysphagia

MeSH Terms

Adult
Constriction, Pathologic
Deglutition Disorders
Dilatation
Endoscopy
Esophagus
Gastroesophageal Reflux
Humans
Ligaments
Thorax
Trachea
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