Acute exacerbation of dysphagia due to foreign body impaction in an oesophageal stricture due to eosinophilic esophagitis

Jin-Yong Kang; Amy Hui-Yi Kang; Zahir Amin; Heung Chong

doi:10.1136/bcr-2014-208616

Acute exacerbation of dysphagia due to foreign body impaction in an oesophageal stricture due to eosinophilic esophagitis

BMJ Case Rep. 2015 Mar 12:2015:bcr2014208616. doi: 10.1136/bcr-2014-208616.

Authors

Jin-Yong Kang¹, Amy Hui-Yi Kang², Zahir Amin³, Heung Chong⁴

Affiliations

¹ Department of Gastroenterology, St George's Hospital, London, UK Parkside Hospital, London, UK.
² Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK.
³ Department of Radiology (Imaging), University College Hospital, London, USA.
⁴ Department of Histopathology, St George's Hospital, London, UK.

Abstract

A 43-year woman with a 4-year history of swallowing difficulty for solids presented with absolute dysphagia, which was only slightly relieved by intravenous relaxant given in the emergency department. Barium swallow showed a smooth polypoid filling defect in the mid-oesophagus, with a hold-up at this level. Gastroscopy showed a narrowed ringed oesophagus with an impacted foreign body. This was extracted with a basket, with relief of the dysphagia. Oesophageal biopsies confirmed the diagnosis of eosinophilic esophagitis.

2015 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Adult
Deglutition Disorders / etiology*
Deglutition Disorders / pathology
Eosinophilic Esophagitis / complications*
Eosinophilic Esophagitis / pathology
Esophageal Stenosis / etiology*
Esophageal Stenosis / pathology
Female
Foreign Bodies / complications*
Gastroscopy*
Humans
Treatment Outcome