A Case of Uncommon Esophageal Stricture after Upper Gastrointestinal Endoscopy

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  • Hayasaka Akane
    Department of Otolaryngology and Pediatric Otolaryngology, Tokyo Women's Medical University, Yachiyo Medical Center Department of Otolaryngology-Head and Neck Surgery, Tokyo Women's Medical University
  • Saigusa Hideto
    Department of Otolaryngology and Pediatric Otolaryngology, Tokyo Women's Medical University, Yachiyo Medical Center
  • Kadosono Osamu
    Department of Otolaryngology and Pediatric Otolaryngology, Tokyo Women's Medical University, Yachiyo Medical Center
  • Maeda Yasuyo
    Department of Otolaryngology and Pediatric Otolaryngology, Tokyo Women's Medical University, Yachiyo Medical Center
  • Ito Hiroyuki
    Department of Otolaryngology and Pediatric Otolaryngology, Tokyo Women's Medical University, Yachiyo Medical Center
  • Ota Masaho
    Department of Digestive Surgery, Tokyo Women's Medical University, Yachiyo Medical Center

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Other Title
  • 上部消化管内視鏡検査後に発症した特異な食道狭窄の1例
  • ジョウブ ショウカカン ナイシキョウ ケンサ ゴ ニ ハッショウ シタ トクイ ナ ショクドウ キョウサク ノ 1レイ

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Abstract

<p>We report the case of a 64-year-old man who underwent an upper gastrointestinal endoscopy after an abnormality was noted in the esophageal mucosa during a physical examination. Immediately after Lugol's stain was performed during the examination, dysphagia appeared accompanied by severe pain. The patient was seen in our clinic because his dysphagia failed to improve. Upper gastrointestinal fluoroscopy indicated severe stenosis of the cervical esophagus. Upper gastrointestinal endoscopy revealed that the stenosis formed a soft, deep depression base on the right side and a hard, scar-like depression base on the left side. A small fistula was present between the two depressions. Observation of the stenosis through an external cervical incision revealed that the right lateral wall of the cervical esophagus was torn, collapsed into the esophageal lumen, and fused to form a stenosis, and a false lumen was formed by the extraesophageal membrane. The torn esophageal wall was repaired and an esophageal skin fistula was created. Four weeks later, we confirmed that the esophageal lumen had been reconstructed, so the esophageal skin fistula was closed. The patient was then able to ingest orally without problems.</p>

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