Year 2018 / Volume 110 / Number 9
Letter
Dysphagia lusoria: uncommon cause of dysphagia in children

600

DOI: 10.17235/reed.2018.5664/2018

Helena Moreira Silva, Gisela Silva, Rosa Lima,

Abstract
Dysphagia lusoria (lusus naturae, latin for “freak of nature”) describes dysphagia because of vascular compression of the esophagus. Symptoms, when present, occur at the two extremes of life. Owing to the more flexible and compressible nature of the trachea, children usually present with respiratory symptoms, in contrast to adults, who more often present with dysphagia. Here, we report the case of a six-year-old child presenting with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed a diagonal impression in the proximal esophagus, while at esophagogastroduodenoscopy there was an extrinsic pulsatile bulging area suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery.
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References
1. Atalaia-Martins C, Gonçalves C, Cotrim I et al. Dysphagia lusoria: a little-known cause of dysphagia. Rev Esp Enferm Dig 2018;110(3):198-199. doi: 10.17235/reed.2018.5385/2017.
2.Levitt B, Richter JE. Dysphagia lusoria: a comprehensive review. Dis Esophagus 2007; 20: 455-460. DOI: 10.1111/j.1442-2050.2007.00787.x
3. Janssen M, Baggen MG, Veen HF et al. Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Am J Gastroenterol 2000; 95: 1411-1416. DOI: 10.1111/j.1572-0241.2000.02071.x
4. Abraham V, Mathew A, Cherian V et al. Aberrant subclavian artery: anatomical curiosity or clinical entity. Int J Surg. 2009 Apr;7(2):106-9. DOI: 10.1016/j.ijsu.2009.01.009
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Moreira Silva H, Silva G, Lima R. Dysphagia lusoria: uncommon cause of dysphagia in children . 5664/2018


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Publication history

Received: 18/04/2018

Accepted: 28/04/2018

Online First: 22/06/2018

Published: 31/08/2018

Article Online First time: 65 days

Article editing time: 135 days


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