English

Abstract

Plummer-Vinson syndrome is known as the association of postcricoid dysphagia, upper oesophageal web, and iron deficiency anaemia. Although correction of iron deficiency may result in resolution of dysphagia and sometimes disappearance of the webs, dilation therapy is usually necessary to remove webs and relieve dysphagia. We report a rare case of Plummer-Vinson syndrome with recurrent post cricoid web. Patient had undergone balloon dilatation for the web three year back and was symptom free for three years. The patient presented this time with significant dysphagia, sideropenia, angular stomatitis and generalised weakness. Our patient had occasional choking and aspiration episodes at eating and endoscope did not pass through at the level of the upper oesophagus. Patient’s barium swallow revealed the presence of webs in part of the post-cricoid region. Patient was treated with oesophageal balloon dilation, blood transfusion and iron supplementation. The patient is put on regular follow-up.