Korean Journal of Gastrointestinal Endoscopy 2003;26(1): 21-25.
성인에서 발견된 기관지 잔유조직에 의한 선천성 식도협착
정원석ㆍ진윤태ㆍ전훈재ㆍ김두랑ㆍ권용대ㆍ이홍식
고려대학교 의과대학 내과학교실, 소화기연구소
A Case of Congenital Esophageal Stenosis Due to Tracheobronchial Remnants in Adult
Won Seok Jeong, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Du Rang Kim, M.D.,
Department of Internal Medicine, Institute of Digestive Disease and Nutrition,
Abstract
Congenital stenosis of the esophagus is a rare form of esophageal stenosis in adults. The main causes of congenital esophageal stenosis are the esophageal web, esophageal stricture due to tracheobronchial remnants, and idiopathic esophageal muscular hypertrophy. Recently we have experienced a 32-year-old male with dysphagia, indigestion, postprandial chest discomfort who was diagnosed as congenital esophageal stenosis due to tracheobronchial remnant. The esophagogram showed stricture of the distal esophagus with secondary proximal dilatation and endoscopic finding revealed marked stenosis on the distal esophagus with normal surrounding mucosa. The esophageal manometric finding showed decreased body peristalsis and incomplete relaxation of the lower esophageal sphincter. The patient was treated by surgical resection of the stenotic segment with end to end anastomosis. We report this rare case of adult type tracheobronchial remnant with analysis of various worldwide report and with brief review of literature. (Korean J Gastrointest Endosc 2003;26:2125)
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