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[Skiagram]

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Clinical presentation:
Middle-aged adult with history of dysphagia, no other detail.

The barium swallow shows an abnormality of the mid third of the oesophagus, which involves slight narrowing of the lumen and many small extensions of the lumen into the wall of the oesophagus.

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Clinical presentation:
46 year old woman with existing rheumatoid arthritis and has had 4 episodes of bolus obstruction.

There is an area or narrowing of the lumen of the oesophagus that extends from the level of the sterno-clavicular joints to the level of the carina (bifircation of the trachea). Contrast extends into the wall of the oesophagus giving multiple small fairly wide-mouthed cavities.


[Differential]

cases that might resemble this pathology

[View large image] Monilia (case report) [View large image]

Peptic oesophagitis with stricture. (case report)

[View large image] Radiation stricture (case report) [View large image] Tuberculous oesophagitis (case report)
[View large image] Oesophageal varices (case report) [View large image] Carcinoma in existing hiatus hernia. (case report)
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[London South Bank U.]

IDM Nov 2006