仅供医学专业人士阅读参考 出现吞咽困难和胸痛,还可能是这种罕见疾病!病例报告:吞咽困难、胸痛来诊 食管胃十二指肠镜检查没有明显异常 讨论 总 结 由异位锁骨下动脉对食道造成外源性压迫而引起的吞咽困难是一种罕见的疾病,临床上大多数患者无明显症状,但由于异位右锁骨下动脉的起始部随着年龄增加可逐渐增大,加上血管硬化,中老年人会出现吞咽困难的症状,极易与食管癌混淆,需特别注意。 参考文献: [1]Asherson N.David Bayford.His syndrome and sign of dysphagia lusoria.Ann R Coll Surg Engl.1979;61(1):63–67. [2]Mahmodlou R,Sepehrvand N,Hatami S.Aberrant right subclavian artery:a life-threatening anomaly that should be considered during esophagectomy.J Surg Tech Case Rep.2014;6(2):61–63. [3]Brown DL,Chapman WC,Edwards WH,Coltharp WH,Stoney WS.Dysphagia lusoria:aberrant right subclavian artery with a Kommerell's diverticulum.Am Surg.1993;59(9):582–586. [4]Macdonald F E,Pearce O,Thavanesan K,et al.Subclavian steal syndrome-a diagnostic challenge.International journal of stroke:2019(3):14. [5]Masucci A,Nappi C,Sglavo G,et al.Aberrant right subclavian artery:incidence and correlation with other markers of Down syndrome in second-trimester fetuses.,2012,39(2):191-195. [6]Daher H,Hadidi A.S.Dysphagia lusoria presenting as epigastric pain.BMJ Case Rep.2017;2017:bcr2017223687. [7]Tuleja A,Baumgartner I,Schindewolf M.Claudication caused by stenosis of arteria lusoria—case report and review of literature.Clin Med Insights Case Rep.2019;12:1179547619842187. [8]Bennett AL,Cock C,Heddle R,Morcom RK.Dysphagia lusoria:a late onset presentation.World J Gastroenterol.2013;19(15):2433–2436.. [9]Epperson MV,Howell R.Dysphagia lusoria:problem or incidenta-loma?Curr Opin Otolaryngol Head Neck Surg.2019;27(6):448–452. [10]Janssen M,Baggen MG,Veen HF,et al.Dysphagia lusoria:clinical aspects,manometric findings,diagnosis,and therapy.Am J Gastroenterol.2000;95(6):1411–1416. [11]Fukuhara S,Patton B,Yun J,Bernik T.A novel method for the treatment of dysphagia lusoria due to aberrant right subclavian artery.Interact Cardiovasc Thorac Surg.2013;16(3):408–410 本文首发:医学界消化肝病频道 本文作者:努尔巴哈尔 本文审核:杨卫生 景德镇市第二人民医院副主任医师 责任编辑:文嘉欣 |
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