Korean J Gastrointest Endosc > Volume 36(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(4): 213-218.
청소년에서 우측 빗장밑동맥의 기시이상으로 인한 Dysphagia Lusoria 1예
신은중ㆍ김형근ㆍ김진수ㆍ조영석ㆍ최우형ㆍ박용완ㆍ손혜숙ㆍ채현석ㆍ최규용
가톨릭대학교 의과대학 내과학교실
A Case of Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery in an Adolescent
Eun Jung Shin, M.D., Hyung Keun Kim, M.D., Jin Soo Kim, M.D., Young Seok Cho, M.D., Woo Hyung Choi, M.D., Yong Wan Park, M.D., Hye Suk Son, M.D., Hiun Suk Chae, M.D. and Kyu Yong Choi, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Dysphagia lusoria is used to describe the symptomatic compression of the esophagus from an anomalous vessel of the aortic arch. A right aortic arch with an aberrant left subclavian artery is the most common type of aortic arch abnormalities, followed by double aortic arch, and then an aberrant right subclavian artery. These anomalous vessels may cause dysphagia from the compression of the esophagus in adults, but they usually do not produce symptoms and they are usually found incidentally. Several cases of adult dysphagia lusoria have been reported in Korea, but there has been no reported case in an adolescent. We experienced a case of a 17-year-old female who suffered from dysphagia. We evaluated the possible causes of her dysphagia by performing esophagogastroduodenoscopy, esophagoraphy, esophageal manometry and chest computed tomography. We finally diagnosed this case as dysphagia lusoria caused by an aberrant right subclavian artery. (Korean J Gastrointest Endosc 2008;36:213-218)
Key Words: Dysphasia lusoria, Aberrant right subclavian artery
주요어: Dysphagia lusoria, 우측 빗장밑동맥 기시이상
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