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Dysphagia paediatrica

Department of Surgery, University Hospital of Wales, Heath Park, Cardiff CF4 4XW, UK

This excerpt was created in the absence of an abstract.

A 3-year-old girl presented with a 6 month history of recurrent chest infections and weight loss. Clinical examination was unremarkable. A barium swallow was performed as she suffered from intermittent vomiting and regurgitation of food (Fig. 1). What does this show and what is the differential diagnosis? What further investigations would be appropriate?

The radiological report suggested food debris above a stricture or vascular ring. A flexible endoscopy was performed which revealed food debris overlying an inflamed and oedematous mucosa which was also pulsatile. She then underwent selective aortic arteriography which showed no evidence of a vascular abnormality.

Received for publication February 11, 1991. Accepted for publication April 10, 1991.