title: Acute exacerbation of dysphagia due to foreign body impaction in an oesophageal stricture due to eosinophilic esophagitis.
abstract: A 43-year woman with a 4-year history of swallowing difficulty for solids presented with absolute dysphagia, which was only slightly relieved by intravenous relaxant given in the emergency department. Barium swallow showed a smooth polypoid filling defect in the mid-oesophagus, with a hold-up at this level. Gastroscopy showed a narrowed ringed oesophagus with an impacted foreign body. This was extracted with a basket, with relief of the dysphagia. Oesophageal biopsies confirmed the diagnosis of eosinophilic esophagitis.
authors.affiliation: Department of Gastroenterology, St George's Hospital, London, UK Parkside Hospital, London, UK.
authors.forename: Jin-Yong
authors.initials: JY
authors.lastname: Kang
authors.affiliation: Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK.
authors.forename: Amy Hui-Yi
authors.initials: AH
authors.lastname: Kang
authors.affiliation: Department of Radiology (Imaging), University College Hospital, London, USA.
authors.forename: Zahir
authors.initials: Z
authors.lastname: Amin
authors.affiliation: Department of Histopathology, St George's Hospital, London, UK.
authors.forename: Heung
authors.initials: H
authors.lastname: Chong
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology* / Q000473:pathology; D057765:Eosinophilic Esophagitis / Q000150:complications* / Q000473:pathology; D004940:Esophageal Stenosis / Q000209:etiology* / Q000473:pathology; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D005773:Gastroscopy; D006801:Humans; D016896:Treatment Outcome