A Case of Dysphagia Lusoria / 대한소화관운동학회지

Dysphagia lusoria (swallowing difficulty due to trick of nature) is used to describe the symptomatic compression of the esophagus from any anomalous vessel of aortic arch. Aberrant subclavian artery, the most common anomaly of aortic arch can cause dysphagia lusoria by its direct compression of the esophagus or its aneurysmal dilatation. Patient with dysphagia lusoria can be treated with dietary modification, medications (antireflux drugs, prokinetics) in early symptomatic phase, and with surgical correction (via thoracic or extrathoracic approach) in late symptomatic phase or selective cases. We experienced a case of 44-year-old man who suffered from progressive swallowing difficulty for solid foods. We evaluated the possible causes of motor or mechanical dysphagia by esophageal manometry, esophagography, esophagogastroduodenoscopy, and chest computerized tomography. We finally diagnosed this case as dysphagia lusoria due to group 3 aberrant left subclavian artery.

A Case of Pneumonia due to Occult aspiration of a Twig / 결핵

Bronchial foreign body aspirations are uncommon in adults and usually have various underlying conditions, otherwise accidentally occurred in dental procedure, medical, surgical procedure. The most commonly aspirated objects were food materials, with peanuts leading the list. When bronchial foreign body was aspirated, no definite respiratory symptoms or foreign body is may not seen, then diagnosis is delayed. Therefore late complications was developed. The tendency to use fiberoptic bronchoscope for removal of foreign bodies in adults is increased. We report a rare case of bronchial pneumonia due to occult aspiration of a twig before 1 year with a review of the literatures.