🩻 Difficulty in swallowing – Suspected Esophageal Stricture
Patient Age
52
Symptoms
Progressive difficulty in swallowing solids Occasional regurgitation of food Weight loss for last 2 months
Case Description
Patient presented with progressive dysphagia predominantly for solid food. Barium swallow study showed smooth narrowing in the distal esophagus with proximal dilatation, suggestive of benign esophageal stricture. No shouldering or irregular margins seen.
Case Images
Image Description (Peptic Stricture): A barium swallow showing a smooth, tapered, focal area of narrowing in the distal esophagus, commonly caused by chronic acid reflux.
Image Description (Malignant Stricture): A barium swallow displaying a "shouldering" appearance in the mid-esophagus with an irregular, nodular, and asymmetrical narrowing.
Image Description (Achalasia - "Bird's Beak"): A classic, smooth, "bird’s beak" narrowing of the lower esophageal sphincter with massive dilation of the esophagus above it.