Congenital Esophageal Stenosis in Adults
Clinical and Radiographic Findings in Seven Patients
Christine H. Oh1,
Marc S. Levine1,
David A. Katzka2,
Stephen E. Rubesin1,
Lisa W. Pinheiro3,
Michael A. Amygdalos4 and
Igor Laufer1
1
Department of Radiology, Hospital of the University of Pennsylvania, 3400
Spruce St., Philadelphia, PA 19104.
2
Department of Medicine, Hospital of the University of Pennsylvania,
Philadelphia, PA 19104.
3
Department of Radiology, Presbyterian Medical Center, Philadelphia, PA
19104.
4
Department of Radiology, Bayhealth Medical Center, Dover, DE 19901.

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Fig. 1. 50-year-old man with 5-year history of dysphagia. Upright
left posterior oblique spot image from double-contrast esophagram shows
partially obstructing stricture (large arrow) in upper thoracic
esophagus with proximal dilatation. Note distinctive ringlike constrictions
(small arrows) in region of stricture.
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Fig. 2A. 35-year-old man with 10-year history of dysphagia. Upright
left posterior oblique spot image from double-contrast esophagram shows
stricture in upper thoracic esophagus with multiple ringlike constrictions in
region of stricture (arrows). Proximal end of stricture is not well
visualized because of incomplete esophageal distention at this level.
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Fig. 2B. 35-year-old man with 10-year history of dysphagia.
Single-contrast esophagram with greater distention than in A shows
tapered stricture (black arrows) in upper thoracic esophagus with
barium tablet (large white arrow) impacted at proximal end of
stricture. Ringlike constrictions (small white arrows) are barely
visible in region of stricture.
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Fig. 3. 46-year-old man with 17-year history of dysphagia. Upright
left posterior oblique spot image from double-contrast esophagram shows mild
narrowing of mid thoracic esophagus with associated ringlike constrictions
(arrows) in region of stricture.
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Fig. 4. 50-year-old man with 10-year history of dysphagia. Upright
left posterior oblique spot image from double-contrast esophagram shows
tapered stricture in distal thoracic esophagus. Distinctive ringlike
constrictions (arrows) can be seen in region of stricture.
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Copyright © 2001 by the American Roentgen Ray Society.