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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

BMC Gastroenterology 1/2014

Minithoracotomy oesophagectomy for oesophageal carcinoma with aberrant right subclavian artery: a rare case of dysphagia

Zeitschrift:
BMC Gastroenterology > Ausgabe 1/2014
Autoren:
Duminda Subasinghe, Hemantha Sudasinghe, Chathuranga Tisara Keppetiyagama, Sumana D Handagala, Anuja Abayadeera, Merrenna IM De Zoysa
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-230X-14-163) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

All six authors were involved in planning, data collection, analysis of case and writing the manuscript. DS collected data and wrote the paper. IDZ critically revised the article. IDZ,SDH, DS,CTK, HS,AA made substantial contributions to patient management and supervised the manuscript. All authors read and approved the manuscript.

Abstract

Background

Aberrant R/subclavian artery is a rare congenital anomaly involving aortic arch. Oesophageal carcinoma with associated aberrant R/subclavian artery is very rare and only few cases has been reported in literature. If unrecognized and injured during oesophageal surgery, it can lead to disastrous complications. When associated with oesophageal carcinoma, it can cause diagnostic confusion as the symptoms are similar.

Case presentation

A 60 year old previously healthy female presented with intermittent dysphagia, odynophagia and loss of weight of 3 months duration. She was found to have a oeophageal carcinoma with incidentally co-existing aberrant R/subclavian artery.

Conclusion

Although rare this entity should be considered as a differential diagnosis in a patient with dysphagia. In addition, pre-operative identification is important to prevent intra operative vascular complications. The diagnosis and treatment of this rare condition is discussed in this article.
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