Dysphagia Lusoria

Andersen, Karl; Hoff, Ryan T.; Silas, Dean

doi:10.7556/jaoa.2020.139

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2022

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“…Since symptom severity widely ranges in those with DL, treatment must also vary accordingly. Mild to moderate symptoms are treated conservatively with lifestyle modifications, including smaller meals, eating slower, chewing thoroughly, and increased fluid intake with meals [2,9]. Since many patients also complain of reflux, proton pump inhibitors in combination with promotility agents were shown by Janssen et al to improve symptoms [10].…”

Section: Discussionmentioning

confidence: 99%

Dysphagia Lusoria Causing Aspiration Pneumonitis in a Patient With Recurrent Pancreatitis

Sateesh¹,

Gousy²,

Prajapati³

et al. 2022

Cureus

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Dysphagia lusoria (DL) occurs due to an aberrant right subclavian artery (ARSA) compressing the esophagus resulting in dysphagia, odynophagia, and/or reflux symptoms. It is diagnosed by barium esophagram followed by a CT scan or MRI. In this case report, there is a 44-year-old male with a chronic history of reflux and a cough that presents after a meal. The case was complicated due to the history of the patient's alcoholism with recurrent pancreatitis. A CT scan was obtained during his admission, which showed pleural effusion, atelectasis, aspiration pneumonia, and an incidental aberrant RCA. Although DL is a rare pathology, 60%-80% of patients remain asymptomatic, and patients with symptoms can be managed conservatively or surgically, depending on their severity.

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Section: Discussionmentioning

confidence: 99%