PMC3716036_01
Barium swallow showing complete esophageal obstruction in the distal esophagus.
JCHIMP-3-20043-g001.jpg
PMC3716036_01_JCHIMP-3-20043-g001.jpg
F0001
A barium swallow was administered which showed a complete obstruction of the distal esophagus (Fig. 1).
EGD showing complete obstruction with entrapped band and surrounding necrosis.
JCHIMP-3-20043-g002.jpg
PMC3716036_01_JCHIMP-3-20043-g002.jpg
F0002
An EGD was performed; the scope was advanced to 34 cm to the level of obstruction and it was noted to have a band with entrapped varix in the center of the lumen surrounded by fibrotic material closing off the rest of the lumen (Fig. 2).
Repeat barium swallow showing esophageal intramural dissection and a parallel channel formation with no evidence of perforation.
JCHIMP-3-20043-g003.jpg
PMC3716036_01_JCHIMP-3-20043-g003.jpg
F0003
A repeat barium swallow showed patency of the esophagus with a parallel channel that retained contrast much later than the initial swallow, suggestive of an esophageal tear with an intramural dissection of 6 cm to the level of gastro-esophageal junction (Fig. 3).
Barium swallow prior to discharge showing interval healing of dissection and a stricture at the site proximal to prior dissection.
JCHIMP-3-20043-g004.jpg
PMC3716036_01_JCHIMP-3-20043-g004.jpg
F0004
A small stricture was noted at the proximal margin at the origin of the prior dissection (Fig. 4).