The utility of esophageal transit scintigraphy in the diagnosis of dysphagia lusoria

Abstract

A 35-year-old woman with Ehler-Danlos syndrome presented with 2 years of solid food dysphagia described as “holdup” at the level of the upper part of her chest. She did not describe heartburn, regurgitation, or odynophagia. A barium esophagram showed extrinsic compression and retention of a 12.8-mm barium tablet at the thoracic esophagus (A). Also observed were previously embolized congenital mediastinal arteriovenous malformations. EGD demonstrated extrinsic compression of the proximal part of the esophagus without stricture (B).