Esophageal tuberculosis: Findings on barium swallow and computed tomography

1983 ◽  
Vol 8 (1) ◽  
pp. 119-122 ◽  
Author(s):  
Margaret E. Williford ◽  
William M. Thompson ◽  
John D. Hamilton ◽  
Raymond W. Postlethwait
Keyword(s):  
Computed Tomography ◽  
Barium Swallow ◽  
Esophageal Tuberculosis

Pre-operative prediction of a right non-recurrent laryngeal nerve by computed tomography

2013 ◽  
Vol 127 (5) ◽  
pp. 525-527 ◽  
Author(s):  
B T Varghese ◽  
K P Desai ◽  
A Ramachandran
Keyword(s):  
Computed Tomography ◽  
Recurrent Laryngeal Nerve ◽  
Subclavian Artery ◽  
World Literature ◽  
Surgical Navigation ◽  
Central Compartment ◽  
Distal Portion ◽  
Laryngeal Nerve ◽  
Barium Swallow ◽  
The Right

AbstractObjective:This paper reports a case of a non-recurrent laryngeal nerve which was accurately predicted pre-operatively using computed tomography.Case report:A 61-year-old man presented with papillary thyroid carcinoma with lymph node metastasis. Computed tomography scans of the neck and chest revealed an ill-defined, hypoattenuating nodule in the right lobe of the thyroid gland, with few upper paratracheal and prevascular nodes, and clear lung fields. The retro-oesophageal course of the right subclavian artery, which was arising from the distal portion of the arch of aorta, was also incidentally revealed in the computed tomography scan. A barium swallow further confirmed the presence of a retro-oesophageal subclavian artery. Total thyroidectomy was performed, with right neck dissection and central compartment clearance. This was carried out with the presence of a non-recurrent laryngeal nerve in mind, and the nerve was accurately localised and preserved.Conclusion:To our knowledge this is the first report in the world literature of accurate pre-operative incidental imaging of the right non-recurrent laryngeal nerve in a case of metastatic thyroid cancer, and the subsequent use of computed tomography to guide surgical navigation.

scholarly journals Migration of a Swallowed Blunt Foreign Body to the Neck

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Kerem Ozturk ◽  
Goksel Turhal ◽  
Sercan Gode ◽  
Atilla Yavuzer
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Primary Closure ◽  
Foreign Bodies ◽  
Barium Swallow ◽  
X Rays ◽  
Upper Aerodigestive Tract ◽  
Computed Tomography Scans ◽  
History Of ◽  
The Right

Ingestion of foreign bodies is a common problem in the otolaryngology practice. Reports of extraluminal migration of the foreign bodies from the upper aerodigestive tract are rare. Penetration and extraluminal migration of ingested foreign bodies may cause severe vascular and suppurative complications, even death. We report a 4-year-old girl who presented with a mass and partial extrusion of a foreign body in the neck. She had a history of ingesting the plastic top piece of a knitting needle approximately 1 year ago. She had been asymptomatic until the present time. The examination revealed a red, blunt, rectangular plastic foreign body half embedded in the skin of the right neck. Esophagography with barium swallow, cervical X-rays, and computed tomography scans were obtained. The foreign body was easily removed under general anesthesia. Primary closure and direct laryngoscopy was also performed. The patient recovered very well without any complications.

scholarly journals Communicating Tubular Duplication of Upper Esophagus–A Rare Occurrence

2011 ◽  
Vol 1 ◽  
pp. 33 ◽  
Author(s):  
Jawahar Rathod ◽  
Amit Disawal ◽  
Kishor Taori ◽  
Meenakshi Agrawal ◽  
Prajwaleet P Gaur ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Incidental Finding ◽  
Tuberculosis Patient ◽  
Barium Swallow ◽  
Rare Occurrence ◽  
Cystic Duplication ◽  
The Right ◽  
Esophageal Duplication

Duplications of esophagus are commonly classified into two types, tubular and cystic. Tubular duplication of esophagus is a rare occurrence and is much less common than cystic duplication of foregut. Most esophageal duplications are located in the lower third of the esophagus. A cervical esophageal duplication is extremely rare. Esophageal duplications have been reported twice as commonly on the right as on the left. We report a case of incidental finding identified on computed tomography of communicating tubular esophageal duplication involving the left side of the upper esophagus in a tuberculosis patient that was subsequently confirmed on barium swallow test.

scholarly journals Primary esophageal tuberculosis mimicking esophageal carcinoma on computed tomography: A case report

2019 ◽  
Vol 11 (9) ◽  
pp. 373-380 ◽  
Author(s):  
Muhammad Salman Khan ◽  
Muhammad Hassaan Arif Maan ◽  
Amir Humza Sohail ◽  
Wasim Ahmed Memon
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Esophageal Carcinoma ◽  
Esophageal Tuberculosis

Other investigations

2018 ◽  
Author(s):  
James Thomas ◽  
Tanya Monaghan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Exercise Tolerance ◽  
Tolerance Test ◽  
Barium Swallow ◽  
Resonance Imaging ◽  
Endoscopic Retrograde ◽  
Exercise Tolerance Test ◽  
Magnetic Resonance Imaging Mri

Computed tomography (CT)Magnetic resonance imaging (MRI)Barium swallow and mealBarium follow-throughBarium enemaEndoscopic retrograde cholangiopancreatography (ERCP)UltrasoundOesophagogastroduodenoscopy (OGD)ColonoscopyCapsule endoscopyExercise tolerance test (ETT)EchocardiographyCoronary angiography and angioplastyBronchoscopy

scholarly journals Dysphagia caused by an aberrant right subclavian artery

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Radhiana H ◽  
Ahmad Razali MR ◽  
Wan Ishlah WL
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Barium Swallow ◽  
Computed Tomography Scan ◽  
Dysphagia Lusoria ◽  
Aortic Arch Anomaly ◽  
Tomography Scan

An aberrant right subclavian artery is the commonest aortic arch anomaly. Majority of them were asymptomatic. An aberrant subclavian artery is a rare cause of dysphagia in adults. This condition is also known as dysphagia lusoria. We report a case of dysphagia in a 49-year-old woman from an aberrant right subclavian artery. Diagnosis of her condition was made with barium swallow and MDCT (multidetector computed tomography) scan. She was managed conservatively.

Imaging of esophageal tuberculosis: A review of 23 cases

2003 ◽  
Vol 44 (3) ◽  
pp. 329-333
Author(s):  
B. Nagi ◽  
A. Lal ◽  
R. Kochhar ◽  
D. K. Bhasin ◽  
M. Gulati ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Spinal Tuberculosis ◽  
Mediastinal Lymphadenopathy ◽  
Barium Swallow ◽  
Surgical Biopsy ◽  
Ct Guided ◽  
Antituberculous Treatment ◽  
Esophageal Tuberculosis ◽  
Extrinsic Compression ◽  
Ct Guided Biopsy

Purpose: To evaluate the various radiological abnormalities in patients with proven esophageal tuberculosis. Material and Methods: The case records of 23 patients with proven esophageal tuberculosis were evaluated retrospectively for various radiological abnormalities. Twenty-two patients had secondary involvement of esophagus in the form of direct extension of mediastinal and pulmonary tuberculosis or spinal tuberculosis. Only 1 patient had primary involvement of the esophagus with no evidence of disease elsewhere. The diagnosis was confirmed by endoscopic and CT-guided biopsy/aspiration cytology in 7 and 6 cases, respectively. Diagnosis was made on the basis of surgical biopsy of lymph node and autopsy in 1 patient each. In the remaining 8 patients the diagnosis was based on radiological and endoscopic findings and the response to antituberculous treatment. Results: Chest radiography (CXR) was abnormal in 65% patients. While the findings were non-conclusive for esophageal tuberculosis, characteristic lesions of tuberculosis in lungs or spine were suggestive of tuberculous etiology. In 15 patients, CT of the chest confirmed the corresponding CXR findings and also showed additional findings of mediastinal lymphadenopathy when CXR was normal. Fourteen patients showed mediastinal lymphadenopathy on CT of the chest. In all these patients, more than one group of lymph nodes was involved. The characteristic hypodense center of lymph nodes suggestive of tuberculosis was seen in 12 patients. Radiological abnormalities seen in barium swallow examination were extrinsic compression, traction diverticula, strictures, sinus/fistulous tracts, kinking and pseudotumor mass of esophagus in decreasing order of frequency. The middle third of the esophagus was found to be the most frequent site of involvement.

Dysphagia and Dysphonia Secondary to Anterior Cervical Osteophytes

Neurosurgery ◽  
1986 ◽  
Vol 18 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Greg Brandenberg ◽  
Lyal G. Leibrock
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Barium Swallow ◽  
X Ray ◽  
Solid Foods ◽  
The Past ◽  
Cervical Osteophytes ◽  
History Of ◽  
Progressive Dysphagia

Abstract A 77-year-old man presented with a 4-year history of progressive dysphagia to the point that he could no longer swallow solid foods. During the past several months, he had developed dysphonia. Cervical spine x-ray films demonstrated massive anterior degenerative osteophytic spurs between C-3 and C-7. Evaluation with barium swallow and cervical computed tomography demonstrated esophageal and laryngeal compression. Resection of the anterior osteophytes resolved the dysphagia and dysphonia.

scholarly journals Galimybės nustatyti stemplės vėžio išplitimą prieš operaciją

2005 ◽  
Vol 3 (1) ◽  
pp. 0-0
Author(s):  
Paulius Gradauskas ◽  
Romaldas Rubikas
Keyword(s):  
Computed Tomography ◽  
Esophageal Cancer ◽  
Esophageal Carcinoma ◽  
Clinical Stage ◽  
Preoperative Staging ◽  
Preoperative Assessment ◽  
Esophageal Resection ◽  
Barium Swallow ◽  
Abdominal Ultrasonography ◽  
N Staging

Paulius Gradauskas, Romaldas RubikasKauno medicinos universiteto Torakalinės chirurgijos klinika,Eivenių g. 2, LT-50009 KaunasEl paštas: [email protected] Įvadas / tikslas Operacinį stemplės vėžio gydymą galima planuoti tik jeigu tikimasi atlikti R0 rezekciją. Tyrimo tikslas – įvertinti priešoperacinių paciento tyrimų galimybes nustatyti stemplės vėžio klinikinę stadiją (cTNM). Ligoniai ir metodai Perspektyviuoju būdu analizuoti 62 pacientų, kuriems dėl vėžio buvo atliktos stemplės rezekcijos ir dviejų arba trijų laukų limfadenektomijos, duomenys. Klinikinė stadija (cTNM) buvo nustatyta atlikus ezofagoskopiją, rentgenokontrastinį stemplės tyrimą, kaklo ir pilvo ultragarsinį tyrimą ir kaklo, krūtinės bei pilvo viršutinio aukšto kompiuterinę tomografiją. Šio kompleksinio klinikinio ištyrimo rezultatai lyginami su patologine ligos stadija (pTNM), nustatyta patologiniu morfologiniu pašalintų organų komplekso tyrimu. Rezultatai Priešoperacinio tyrimo jautrumas, specifiškumas ir bendras tikslumas buvo atitinkamai 22,2%, 96,2% ir 85,5% vertinant vietinį; 41,7%, 80,8% ir 58,1% vertinant sritinį; 33,3%, 98,2% ir 91,9% vertinant tolimą naviko išplitimą. Išvada Klinikiniu tyrimu pakankamai tiksliai įvertinamos tolimos stemplės vėžio metastazės, tačiau tiek lokalus, tiek sritinis naviko išplitimas – nepakankamai. Reikšminiai žodžiai: stemplės vėžys, naviko stadija, diagnostika, kompiuterinė tomografija, stemplės rentgenokontrastinis tyrimas Possibilities of preoperative staging of esophageal cancer Paulius Gradauskas, Romaldas RubikasClinic of Thoracic Surgery, Kaunas University of Medicine,Eivenių str. 2, LT-50009 Kaunas, LithuaniaE-mail: [email protected] Background / objective Only in case of performing R0 esophageal resection it is reasonable to plan surgical treatment of esophageal cancer. The aim of this study was to evaluate the possibilities of preoperative noninvasive staging of esophageal carcinoma. Patients and methods Sixty-two patients were examined prospectively before esophageal resection with 2-field or 3-field lymphadenectomy performed due to cancer. The investigation consisted of esophagoscopy, barium swallow, cervical and abdominal ultrasonography, cervical, chest and upper abdominal computed tomography. The clinical stage (cTNM) was compared to pathomorphological one (pTNM). Results The sensitivity and specificity of preoperative assessment were, respectively, 22.6 and 96.2 percent in T staging; 41.7 and 80.8 percent in N staging; and 33.3 and 98.2 percent in M staging. Conclusion The accuracy of the preoperative staging of esophageal carcinoma is sufficient in M staging, but too low in T and N staging. Keywords: esophageal carcinoma, preoperative staging, computed tomography, barium swallow, diagnostics

Pyriform Sinus Fistula: Management with Chemocauterization of the Internal Opening

2000 ◽  
Vol 109 (5) ◽  
pp. 452-456 ◽  
Author(s):  
Kwang Hyun Kim ◽  
Myung-Whun Sung ◽  
Seung Ha Oh ◽  
Tae-Yong Koh ◽  
In-Sang Kim
Keyword(s):  
Computed Tomography ◽  
Pyriform Sinus ◽  
Fistula Tract ◽  
Barium Swallow ◽  
Internal Opening ◽  
Pyriform Sinus Fistula ◽  
Recurrent Fistula ◽  
Swallow Study ◽  
Barium Esophagography ◽  
Operative Findings

A branchial remnant originating in the pyriform sinus causes a recurrent fistula or abscess in the neck. In spite of excision, recurrence may result from inadequate removal of the fistula tract. We attempted chemocauterization of the internal opening of the fistula tract with trichloroacetic acid (TCA) on direct endoscopy. This is a 6-year review of 18 patients with pyriform sinus fistula. Medical history, barium esophagography, computed tomography scans, operative findings, and treatment results were analyzed. By direct endoscopy, all patients were found to have a fistula opening in the pyriform sinus, exclusively on the left side. In only 9 patients, the fistula tract was identified by barium esophagography before operation. Computed tomography revealed a suspicious fistula tract originating from the pyriform sinus in 8 of 10 patients. Sixteen patients were initially managed by TCA chemocauterization. There were no serious intraoperative or postoperative complications. Four patients had recurrent masses, which were managed by simple excision in 2 patients and repeated TCA cauterization in the other 2 patients with unobliterated internal openings. We recommend barium swallow study and direct endoscopy for all patients presenting with a recurrent lateral neck abscess, especially on the left side. Our results suggest that initial chemocauterization of the internal opening can be a reasonable alternative procedure for the management of pyriform sinus fistula.

Sign in / Sign up

Export Citation Format

Share Document