Esophageal Food Impaction, a Diagnostic Dilemma Impacto Alimentar Esofágico, um Dilema Diagnóstico

Main Article Content

Catarina Rúbio - Corresponding Author

Estrada Nacional Nº1, Povos, 2600-009 Vila Franca de Xira, Portugal

 

Filipa Furtado
Florbela Cunha
Gustavo Queirós
Laura Oliveira
José Cabral

Abstract

Esophageal food bolus impaction is frequently secondary to congenital or acquired esophageal pathology and may constitute the first sign of the disease. We describe a healthy 11-year-old boy, presented with sialorrhea and retrosternal pain developed suddenly while having dinner. An upper gastrointestinal endoscopy detected an impacted piece of meat in the distal third of the esophagus and longitudinal striae in the mucosa. The biopsy revealed esophageal eosinophilia. He was medicated with a proton pump inhibitor, with clinical and histological improvement. The diagnostic differentiation between the main causes of food bolus impaction associated with esophageal eosinophilia, namely eosinophilic esophagitis, gastroesophageal reflux disease and proton pump inhibitor-responsive esophageal eosinophilia, may represent a clinical challenge.


Received: 15/10/2016 - Accepted: 11/12/2017

Keywords: Child; Deglutition Disorders; Eosinophilic Esophagitis/diagnosis; Proton Pump Inhibitors

Article Details

1.
Rúbio C, Furtado F, Cunha F, Queirós G, Oliveira L, Cabral J. Esophageal Food Impaction, a Diagnostic Dilemma: Impacto Alimentar Esofágico, um Dilema Diagnóstico. Gaz Med [Internet]. 2018 Feb. 21 [cited 2021 Dec. 7];4(4). Available from: https://gazetamedica.pt/index.php/gazeta/article/view/89
Section
CLINICAL CASE

Most read articles by the same author(s)