Rare case of dysphagia lusoria due to an anomalous vertebral artery originating from the aortic arch

Q4 Medicine
Abubeker Fedlu Abdela MD, Natnael Alemu Bezabih MD, Amir Alwan MD
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引用次数: 0

Abstract

Dysphagia lusoria is a rare condition characterized by swallowing difficulties due to vascular compression of the esophagus. While most commonly caused by an aberrant right subclavian artery (ARSA), other vascular anomalies can also lead to this condition. We present a unique case of dysphagia lusoria in a 20-year-old Ethiopian male, caused by a vertebral artery originating anomalously from the aortic arch. The patient presented with a 6-month history of progressive dysphagia, particularly with solid foods. Diagnostic imaging revealed an aberrant right vertebral artery compressing the esophagus. Conservative management, including dietary modifications and swallowing exercises, led to significant symptom improvement. This case highlights the importance of considering rare vascular anomalies in the differential diagnosis of dysphagia, especially in young patients. It also demonstrates the potential effectiveness of conservative management in such cases. This report discusses the clinical presentation, diagnostic approach, and management of this rare variant of dysphagia lusoria.
由起源于主动脉弓的椎动脉异常引起的吞咽困难的罕见病例
吞咽困难是一种罕见的情况,其特点是吞咽困难,由于血管压迫食道。虽然最常见的原因是右锁骨下动脉(ARSA)异常,但其他血管异常也可能导致这种情况。我们提出了一个独特的病例吞咽困难在一个20岁的埃塞俄比亚男性,由椎动脉异常起源于主动脉弓引起的。患者有6个月进行性吞咽困难病史,特别是固体食物。诊断影像显示右侧椎动脉异常压迫食道。保守治疗,包括饮食调整和吞咽练习,导致明显的症状改善。本病例强调了在吞咽困难的鉴别诊断中考虑罕见血管异常的重要性,特别是在年轻患者中。这也证明了在这种情况下保守管理的潜在有效性。本报告讨论这种罕见的吞咽困难的临床表现、诊断方法和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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