A rare cause of dysphagia: Non aneurysmatıc dysphagia aortica

Öz

Dysphagia aortica is a rare etiological factor of dysphagia resulting from extrinsic compression of the esophagus by thoracic aorta. There is no gold standard diagnostic pro­cedure for dysphagia aortica. Dysphagia aortica is usually escaped to attention in the differential diagnosis of dys­phagia. Here, we reported compression of the esophagus by thoracic aorta in a 54 years-old male patient who com­plained from dysphagia.

Anahtar Kelimeler

• Dysphagia, thoracic aorta, esophagus

Yutma güçlüğünün nadir bir nedeni: Anevrizmatik olmayan disfajia aortika

Öz

Disfajia aortika, torasik aortanın özefagusa dıştan bası­sından kaynaklanan yutma güçlüğünün nadir bir nede­nidir. Tanı için altın standart bir yöntem yoktur. Disfajinin ayırıcı tanısında genellikle göz ardı edilir. Bu yazımızda yutma güçlüğü ile başvuran 54 yaşındaki erkek hastada aort anevrizması bulunmaksızın torasik aortanın neden olduğu özofagus basısı sunulmuştur.

Anahtar Kelimeler

• Yutma güçlüğü, torasik aorta, özofa­gus

Kaynakça

1. Taylor CW, Sinha A, Nightingale JMD. Dysphagia and thora- coabdominal aneurysm. Postgrad Med J 2001; 77: 257-8
2. Wilkinson JM, Euinton HA, Smith LF, Bull MJ, Thorpe JAC. Diagnostic dilemma in dysphagia aortica. Eur J Cardiotho- rac Surg 1997; 11: 222-7
3. Ponce J, Gaspar E, Del Val A, Garrigues V, Sancho MJ, Car- rasquer J. Vascular dysphagia. Rev Esp Enferm Dig 1991; 80: 53-6
4. Lau H. Dysphagia aortica: Harbinger of aortoesophgeal fis- tula? Surgery 2001; 129: 763-4
5. Dakkak M, Bennett JR. A new dysphagia score with objec- tive validation. J Clin Gastroenterol 1992; 14: 99-100
6. Vats HS. Dysphagia from extrinsic compression of esopha- gus by pericardial effusion. Clinical Medicine & Research 2008; 6: 78-9
7. Lind CD. Dysphagia: evaluation and treatment. Gastroen- terol Clin North Am 2003; 32: 553-75
8. Achem SR, Devault KR. Dysphagia in aging. J Clin Gastro- enterol 2005;39: 357-71

9. Sakiyalak P, Bellon EM, David P, Ankeny JL. Esophageal obstruction due to saccular aneurysm of the distal thoracic aorta. J Thorac Cardiovasc Surg 1972; 64: 959–62
10. Hilliard AA, Murali NS, Keller AS. Dysphagia aortica. Ann Intern Med 2005; 142: 230–1.
11. Birnholz JC, Ferrucci JT, Wyman SM. Roentgen features of dysphagia aortica. Radiology 1974; 111: 93-6
12. McMillan IKR, Hyde I. Compression of the oesophagus by the aorta. Thorax 1969; 24: 32–8.
13. Habermann TM. Mayo Clinic Internal Medicine Board Re- view, 6th edn. Philadelphia: Lippincott Williams & Wilkins, 2004:253