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Wide-Mouthed Sacculations in the Esophagus

A Radiographic Finding in Scleroderma

Claire A. Coggins1, Marc S. Levine1, Craig D. Kesack2 and David A. Katzka3

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Department of Radiology, Doylestown Hospital, 595 W. State St., Doylestown, PA 18901.
3 Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.



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  		Fig. 1A. —Wide-mouthed sacculations in esophagus in 65-year-old woman with scleroderma. Upright left posterior oblique spot image from double-contrast esophagography shows two wide-mouthed sacculations en face (black arrows) in upper and mid thoracic esophagus. Note how upper sacculation extends superiorly just above level of aortic arch (white arrow).

 


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  		Fig. 1B. —Wide-mouthed sacculations in esophagus in 65-year-old woman with scleroderma. Upright right posterior oblique spot image from double-contrast esophagography shows sacculations in profile (arrows).

 

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