Dysphagia Aortica Initially Misdiagnosed as Poststroke Dysphagia: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Dysphagia aortica is a rare form of mechanical dysphagia characterized by extrinsic compression of the esophagus by the aorta. A 69-year-old male reported experiencing swallowing difficulties for five months, along with nausea, abdominal discomfort, weight loss, and severe reflux. Considering his age and a medical history of hypertension and stenosis of the cerebral artery, poststroke dysphagia was initially suspected. However, brain magnetic resonance imaging revealed no evidence of acute or subacute stroke. Further evaluation was achieved via enhanced chest computed tomography to locate the focus of the systemic inflammation. A thoracic aortic aneurysm about 8.7×5.0 cm in size, with signs of impending rupture, was observed. This case reinforces that a high possibility for dysphagia aortica should be considered under conditions of unclear etiology of dysphagia but the presence of associated symptoms, such as progressive intolerance to solids and ultimately to liquids, weight loss, and nausea.
Abstract
Dysphagia aortica is a rare form of mechanical dysphagia characterized by extrinsic compression of the esophagus by the aorta. A 69-year-old male reported experiencing swallowing difficulties for five months, along with nausea, abdominal discomfort, weight loss, and severe reflux. Considering his age and a medical history of hypertension and stenosis of the cerebral artery, poststroke dysphagia was initially suspected. However, brain magnetic resonance imaging revealed no evidence of acute or subacute stroke. Further evaluation was achieved via enhanced chest computed tomography to locate the focus of the systemic inflammation. A thoracic aortic aneurysm about 8.7×5.0 cm in size, with signs of impending rupture, was observed. This case reinforces that a high possibility for dysphagia aortica should be considered under conditions of unclear etiology of dysphagia but the presence of associated symptoms, such as progressive intolerance to solids and ultimately to liquids, weight loss, and nausea.
참고문헌 (14)
- Sally H.J. Choi, "Dysphagia aortica secondary to thoracoabdominal aortic aneurysm resolved after endograft placement", Journal of Vascular Surgery Cases, Innovations and Techniques, 5(4), pp.501~505 (2019), Elsevier BV[DOI]
- 김정호, "A Patient With Dysphagia due to an Aortic Aneurysm", Korean Circulation Journal, 39(6), pp.258~260 (2009), 대한심장학회
- Marlís González-Fernández, "Dysphagia after stroke: an overview", Current Physical Medicine and Rehabilitation Reports, 1(3), pp.187~196 (2013), Springer Science and Business Media LLC[DOI]
- Ala' A. Abdel Jalil, "Approach to the Patient with Dysphagia", The American Journal of Medicine, 128(10), pp.1138.e17~1138.e23 (2015), Elsevier BV[DOI]
- Yi-Hsueh Chan, "Nonaneurysmatic Dysphagia Aortica in the Elderly: Three Case Reports and Literature Review", International Journal of Gerontology, 10(1), pp.52~55 (2016), Airiti Press, Inc[DOI]
- Anthony A. Hilliard, "Dysphagia Aortica", Annals of Internal Medicine, 142(3), pp.230~231 (2005), American College of Physicians[DOI]
- Sang-Il Lee, "Dysphagia and Hoarseness Associated with Painless Aortic Dissection: A Rare Case of Cardiovocal Syndrome", Dysphagia, 21(2), pp.129~132 (2006), Springer Science and Business Media LLC[DOI]
- Nayantara Coelho–Prabhu, "Dysphagia and Weight Loss in an Elderly Person", Gastroenterology, 137(5), pp.e1~e2 (2009), Elsevier BV[DOI]
- Nicolas J. Mouawad, "Dysphagia in the aging cardiovascular patient", Journal of Thoracic Disease, 9(11), pp.E1005~E1008 (2017), AME Publishing Company[DOI]
- Seon-Young Park, "Aggravation of Dysphagia Aortica After Wearing the Abdominal Binder", Journal of Neurogastroenterology and Motility (JNM), 16(3), pp.323~326 (2010), 대한소화기 기능성질환∙운동학회
- Mislav Vrsalović, "Admission C-reactive protein and outcomes in acute aortic dissection: a systematic review", Croatian Medical Journal, 60(4), pp.309~315 (2019), Croatian Medical Journals[DOI]
- Yusuf Karavelioğlu, "A Rare Cause of Dysphagia and Weight Loss in a Nonagenarian with Hypertension: Dysphagia Aortica", Journal of the American Geriatrics Society, 63(7), pp.1488~1489 (2015), Wiley[DOI]
- Badila E, "A rare cause of dysphagia-dysphagia aortica-complicated with intravascular disseminated coagulopathy", Maedica(Bucur), 9, pp.83~87 (2014)
- Chen-Yi Liao, "Dysphagia aortica: a fatal delay in diagnosis", The American Journal of Emergency Medicine, 33(8), pp.1117.e3~1117.e5 (2015), Elsevier BV[DOI]