Chong Tai Lorraine I, Anand Gautam, Singh Satya P
Department of Internal Medicine, Broward Health Medical Center, Fort Lauderdale, USA.
Department of Gastroenterology, Broward Health Medical Center, Fort Lauderdale, USA.
Cureus. 2023 Jul 26;15(7):e42489. doi: 10.7759/cureus.42489. eCollection 2023 Jul.
An esophageal stricture is an abnormal tightening of the esophageal lumen. Benign strictures are often caused by gastroesophageal reflux disease (GERD) and are more common in patients over 40 years. When caused by GERD, these strictures develop when acid from the stomach regurgitates into the esophagus, leading to inflammation, fibrosis, and eventual narrowing of the lumen. This case report aims to highlight the importance of obtaining a detailed history in discovering the underlying cause of these strictures. We present a unique case of a young female presenting with dysphagia several months after experiencing Hyperemesis gravidarum. She was found to have a long esophageal stricture that would eventually recur within a few weeks of therapeutic intervention. The pathological report confirmed benign disease, but she ultimately would require surgical intervention for her condition.
食管狭窄是食管管腔的异常缩窄。良性狭窄通常由胃食管反流病（GERD）引起，在40岁以上患者中更为常见。当由GERD引起时，这些狭窄是由于胃酸从胃反流至食管，导致炎症、纤维化，最终管腔变窄。本病例报告旨在强调获取详细病史对于发现这些狭窄潜在病因的重要性。我们呈现了一个独特病例，一名年轻女性在经历妊娠剧吐数月后出现吞咽困难。她被发现患有长段食管狭窄，在治疗干预后几周内最终复发。病理报告证实为良性疾病，但她最终仍需接受手术治疗。
