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Báo cáo y học: " Esophageal intramural pseudodiverticulosis characterized by barium esophagography: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Esophageal intramural pseudodiverticulosis characterized by barium esophagography: a case report. | O Connor et al. Journal of Medical Case Reports 2010 4 145 http www.jmedicalcasereports.eom content 4 1 145 jA JOURNALOF.MEDICAL CASE REPORTS CASE REPORT Open Access Esophageal intramural pseudodiverticulosis characterized by barium esophagography a case report Owen J O Connor 1 Adrian Brady1 Fergus Shanahan2 Eamonn Quigley2 Michael O Riordain3 and Michael M Maher1 Abstract Introduction Esophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of the submucosal glands. Case presentation We present a case of esophageal intramural pseudodiverticulosis in a 72-year-old Caucasian man who presented with dysphagia and with a background history of alcohol abuse. An upper gastrointestinal endoscopy of our patient showed an esophageal stricture with abnormal mucosal appearances but no malignant cells were seen at biopsy. Appearances on a barium esophagram were pathognomonic for esophageal intramural pseudodiverticulosis. Conclusion We demonstrate the enduring usefulness of barium esophagography in the characterization of abnormal mucosal appearances at endoscopy. Introduction Esophageal intramural pseudodiverticulosis is a rare condition characterized by the dilatation of submucosal glands. Based on approximately 250 cases reported to date this condition is slightly more common in men than in women 1 2 . Intramural pseudodiverticulosis is most commonly associated with gastrooesophageal reflux and esophagitis and less commonly with alcoholism diabetes mellitus Crohn s disease tuberculosis Mallory-Weiss syndrome and achalasia 3 4 . The average age at presentation is 54 years and patients typically present with dysphagia which is frequently associated with stricture formation as in case we describe here 3 4 . Symptoms usually respond well to anti-inflammatory medication and balloon dilatation of strictures. Case presentation A 72-year-old Caucasian man height 170 cm weight 85 kg presented with a 4-year history of mild dysphagia for solid .