Bongurala Archana Reddy, Fatima Ayesha, Kashyap Rahul
Pediatrics, Omni Family Health California, Bakersfield, USA.
Gastroenterology, Beaumont Health, Royal Oak, USA.
Cureus. 2024 Apr 7;16(4):e57784. doi: 10.7759/cureus.57784. eCollection 2024 Apr.
Congenital esophageal stenosis (CES) is an uncommon condition that poses diagnostic and therapeutic challenges due to its rarity and clinical presentation similar to other esophageal disorders. Symptoms typically start with dysphagia around the introduction of solid foods. A broad range of potential differential diagnoses contributes to a delay in obtaining a definitive diagnosis and administering the proper treatment. We report a two-year-old boy who presented with difficulty swallowing solid foods since 11 months of age, manifesting as choking and gagging. Initial evaluation revealed a double esophageal web, with proximal stenosis detected in an esophagram. Despite two endoscopic dilations and cauterization of the proximal web, a second web in the middle third of the esophagus was found. Subsequent dilatation successfully improved symptoms, and the child began tolerating table foods. This case report aims to contribute to the limited existing literature on CES and to add to the clinical practice in the diagnosis and treatment of this uncommon congenital anomaly.
先天性食管狭窄（CES）是一种罕见的疾病，由于其罕见性以及临床表现与其他食管疾病相似，给诊断和治疗带来了挑战。症状通常在开始摄入固体食物时以吞咽困难为首发表现。众多潜在的鉴别诊断导致确诊和给予恰当治疗出现延迟。我们报告一名两岁男孩，自11个月大起就出现吞咽固体食物困难，表现为呛噎和作呕。初步评估发现一个双食管蹼，食管造影显示近端狭窄。尽管进行了两次内镜扩张并烧灼近端蹼，但在食管中三分之一处又发现了第二个蹼。随后的扩张成功改善了症状，患儿开始能够耐受固体食物。本病例报告旨在为关于CES的有限现有文献做出贡献，并为这种罕见先天性异常的诊断和治疗临床实践增添内容。
