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Congenital Esophageal Stenosis in Adults

Clinical and Radiographic Findings in Seven Patients

Christine H. Oh1, Marc S. Levine1, David A. Katzka2, Stephen E. Rubesin1, Lisa W. Pinheiro3, Michael A. Amygdalos4 and Igor Laufer1

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.
3 Department of Radiology, Presbyterian Medical Center, Philadelphia, PA 19104.
4 Department of Radiology, Bayhealth Medical Center, Dover, DE 19901.



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Fig. 1. 50-year-old man with 5-year history of dysphagia. Upright left posterior oblique spot image from double-contrast esophagram shows partially obstructing stricture (large arrow) in upper thoracic esophagus with proximal dilatation. Note distinctive ringlike constrictions (small arrows) in region of stricture.

 


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Fig. 2A. 35-year-old man with 10-year history of dysphagia. Upright left posterior oblique spot image from double-contrast esophagram shows stricture in upper thoracic esophagus with multiple ringlike constrictions in region of stricture (arrows). Proximal end of stricture is not well visualized because of incomplete esophageal distention at this level.

 


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Fig. 2B. 35-year-old man with 10-year history of dysphagia. Single-contrast esophagram with greater distention than in A shows tapered stricture (black arrows) in upper thoracic esophagus with barium tablet (large white arrow) impacted at proximal end of stricture. Ringlike constrictions (small white arrows) are barely visible in region of stricture.

 


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Fig. 3. 46-year-old man with 17-year history of dysphagia. Upright left posterior oblique spot image from double-contrast esophagram shows mild narrowing of mid thoracic esophagus with associated ringlike constrictions (arrows) in region of stricture.

 


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Fig. 4. 50-year-old man with 10-year history of dysphagia. Upright left posterior oblique spot image from double-contrast esophagram shows tapered stricture in distal thoracic esophagus. Distinctive ringlike constrictions (arrows) can be seen in region of stricture.

 

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