EURORAD ESR

Case 12609

An unusual case of dysphagia presenting in an 8-month-old child

Author(s)
J. De Groote, E. Ghariq, D. Lahuis, H. Lamb

UZ Gent, Radiology
De Pintelaan 185
9000 Gent
Email:jeroen.degroote@icloud.com
 
Patient
male, 8 month(s)
 
 
  • Figure 1
    Contrast oesophagogram

    Fluoroscopy-guided oesophagogram using fluid iodine contrast illustrating a posterior-leftward impression of the mid oesophagus (arrow) with proximal stasis of administered contrast fluid.

     
    Area of Interest: Oesophagus; Imaging Technique: Fluoroscopy; Procedure: Contrast agent-oral; Special Focus: Eating disorders;
     
     
  • Figure 2
    CTA Coronal Thin MIP

    CTA Coronal Thin MIP illustrating a right-sided descending aorta. The left subclavian artery (long arrow) originates from Kommerell's diverticulum (short arrow) and crosses the midline, posterior of trachea and...

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    CTA axial 0.5 mm supra-aortic level

    Axial native 0.5 mm CTA at the level of the supra-aortic vessels illustrating a normal right paramedian pre-vertebral location of the upper third of the oesophagus (arrow) and aberrant left subclavian artery (arrowhead).

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
  • Figure 4
    CTA axial 0.5 mm aortic arch level

    Axial native 0.5 mm CTA illustrating a right-sided aortic arch (arrow) crossing the right main bronchus with Kommerell's diverticulum (short arrow) originating from the dorsal aorta and crossing the midline posterior...

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 5
    CTA axial 0.5 mm carinal level

    Axial native 0.5 mm CTA illustrating anterior leftward displacement of the oesophagus (arrow) as a result of pressure by Kommerell's diverticulum.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Fluoroscopy-guided oesophagogram using fluid iodine contrast illustrating a posterior-leftward impression of the mid oesophagus (arrow) with proximal stasis of administered contrast fluid.
 
CTA Coronal Thin MIP illustrating a right-sided descending aorta. The left subclavian artery (long arrow) originates from Kommerell's diverticulum (short arrow) and crosses the midline, posterior of trachea and oesophagus (not shown).
 
Axial native 0.5 mm CTA at the level of the supra-aortic vessels illustrating a normal right paramedian pre-vertebral location of the upper third of the oesophagus (arrow) and aberrant left subclavian artery (arrowhead).
 
Axial native 0.5 mm CTA illustrating a right-sided aortic arch (arrow) crossing the right main bronchus with Kommerell's diverticulum (short arrow) originating from the dorsal aorta and crossing the midline posterior of trachea and oesophagus.
 
Axial native 0.5 mm CTA illustrating anterior leftward displacement of the oesophagus (arrow) as a result of pressure by Kommerell's diverticulum.
 
 
 
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