Korean J Gastrointest Endosc.  2003 Jan;26(1):21-25.

A Case of Congenital Esophageal Stenosis Due to Tracheobronchial Remnants in Adult

• Jeong WS
• Jeen YT
• Chun HJ
• Kim DR
• Kwon YD
• Lee HS
• Um SH
• Lee SW
• Chai JH
• Kim CD
• Ryu HS
• Hyun JH

Abstract

Congenital stenosis of the esophagus is a rare form of esophageal stenosis in adults. The main causes of congenital esophageal stenosis are the esophageal web, esophageal stricture due to tracheobronchial remnants, and idiopathic esophageal muscular hypertrophy. Recently we have experienced a 32-year-old male with dysphagia, indigestion, postprandial chest discomfort who was diagnosed as congenital esophageal stenosis due to tracheobronchial remnant. The esophagogram showed stricture of the distal esophagus with secondary proximal dilatation and endoscopic finding revealed marked stenosis on the distal esophagus with normal surrounding mucosa. The esophageal manometric finding showed decreased body peristalsis and incomplete relaxation of the lower esophageal sphincter. The patient was treated by surgical resection of the stenotic segment with end to end anastomosis. We report this rare case of adult type tracheobronchial remnant with analysis of various worldwide report and with brief review of literature.

Keyword

Esophageal stenosis; Tracheobronchial remnants

MeSH Terms

Adult*
Constriction, Pathologic
Deglutition Disorders
Dilatation
Dyspepsia
Esophageal Sphincter, Lower
Esophageal Stenosis*
Esophagus
Humans
Hypertrophy
Male
Mucous Membrane
Peristalsis
Relaxation
Thorax