A Case of Esophageal Compression by a Right-sided Aortic Arch and Kommerell's Diverticulum Mimicking an Esophageal Submucosal Tumor.
- Author:
Young Jig CHO
1
;
Bora KEUM
;
Youn Ho KIM
;
Hwi KONG
;
Jin Nam KIM
;
Yong Sik KIM
;
Yoon Tae JEEN
;
Hoon Jai CHUN
;
Soon Ho UM
;
Chang Duck KIM
;
Ho Sang RHU
;
Jin Hai HYUN
Author Information
1. Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. kumcge@chol.com
- Publication Type:Case Report
- Keywords:
Right-sided aortic arch;
Kommerell's diverticulum
- MeSH:
Aorta;
Aorta, Thoracic;
Congenital Abnormalities;
Dilatation;
Diverticulum;
Embryonic Structures;
Heart;
Humans;
Retention (Psychology);
Rupture;
Thorax
- From:Korean Journal of Gastrointestinal Endoscopy
2008;36(2):78-82
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A right-sided aortic arch and Kommerell's diverticulum, remnants of the left dorsal aortic arch in the circulation of the embryo, are uncommon congenital defects of the aorta. They may be asymptomatic in most cases, but symptoms are manifested by compressing mediastinal structures or are related to congenital heart anomalies. If aneurismal dilatation of the diverticulum presents with rupture, it is lethal. We report a case of esophageal compression by a right-sided aortic arch and Kommerell's diverticulum that mimicked an esophageal submucosal tumor in a patient who complained of symptoms during the past ten years of food retention in the upper thorax when a bolus of food was ingested.