A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery
Dysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2016/2539374 |
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| author | Claudia Barone Nicolina Stefania Carucci Claudio Romano |
| author_facet | Claudia Barone Nicolina Stefania Carucci Claudio Romano |
| author_sort | Claudia Barone |
| collection | DOAJ |
| description | Dysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility disorders and mechanical and inflammatory diseases. Infrequently dysphagia arises from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch. The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery, clinically known as arteria lusoria. This abnormality is usually silent. Here, we report a case of six-year-old child presenting to us with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed an increase of the physiological esophageal narrowing at the level of aortic arch, while at esophagogastroduodenoscopy there was an extrinsic pulsatile compression of the posterior portion of the esophagus suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery. |
| format | Article |
| id | doaj-art-490bab6b835945249b039554cd702c13 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-490bab6b835945249b039554cd702c132025-08-20T02:05:55ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/25393742539374A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian ArteryClaudia Barone0Nicolina Stefania Carucci1Claudio Romano2Pediatric Department, University of Messina, ItalyPediatric Department, University of Messina, ItalyPediatric Department, University of Messina, ItalyDysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility disorders and mechanical and inflammatory diseases. Infrequently dysphagia arises from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch. The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery, clinically known as arteria lusoria. This abnormality is usually silent. Here, we report a case of six-year-old child presenting to us with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed an increase of the physiological esophageal narrowing at the level of aortic arch, while at esophagogastroduodenoscopy there was an extrinsic pulsatile compression of the posterior portion of the esophagus suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery.http://dx.doi.org/10.1155/2016/2539374 |
| spellingShingle | Claudia Barone Nicolina Stefania Carucci Claudio Romano A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery Case Reports in Pediatrics |
| title | A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery |
| title_full | A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery |
| title_fullStr | A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery |
| title_full_unstemmed | A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery |
| title_short | A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery |
| title_sort | rare case of esophageal dysphagia in children aberrant right subclavian artery |
| url | http://dx.doi.org/10.1155/2016/2539374 |
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