Hirose Takashi, Funasaka Kohei, Furukawa Kazuhiro, Yamamura Takeshi, Ishikawa Takuya, Ohno Eizaburo, Nakamura Masanao, Kawashima Hiroki, Miyahara Ryoji, Hirooka Yoshiki
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
Department of Endoscopy, Nagoya University Hospital, Japan.
Intern Med. 2019 Mar 15;58(6):785-789. doi: 10.2169/internalmedicine.1628-18. Epub 2018 Nov 19.
Plummer-Vinson syndrome is a rare entity, characterized by dysphagia, esophageal web formation, and iron deficiency anemia. The patient was a 63-year-old woman with a clinical history of iron deficiency anemia and glossitis in her 20s to 40s and who had experienced swallowing difficulties for the past 20 years. A membranous stricture was found in the cervical esophagus during a fluoroscopic examination. An endoscopic examination conducted under general anesthesia revealed an oblique linear scar on the proximal surface of the stricture. Sequential balloon dilation was performed successfully. We suggest that the esophageal web formation might have been related to the healing of an esophageal ulcer.
普卢默-文森综合征是一种罕见病症，其特征为吞咽困难、食管蹼形成和缺铁性贫血。该患者为一名63岁女性，有缺铁性贫血和20多岁至40多岁时患舌炎的临床病史，且在过去20年中一直有吞咽困难。在荧光镜检查中发现颈段食管有膜状狭窄。全身麻醉下进行的内镜检查显示狭窄近端表面有一条斜行线性瘢痕。成功进行了序贯球囊扩张。我们认为食管蹼形成可能与食管溃疡的愈合有关。
