Mediastinal granuloma: a rare cause of dysphagia.

Mediastinal granuloma: a rare cause of dysphagia.

BMJ Case Rep. 2016;2016

Authors: Micic D, Hogarth DK, Kavitt RT

Abstract
Dysphagia is commonly attributed to disorders arising from dysfunction of the oesophageal mucosa or oesophageal motility. Mediastinal structures causing compression of the oesophagus remain a rare presenting cause of dysphagia. We report a case of a woman presenting with dysphagia to solid foods and associated symptoms of weight loss. Traditional evaluation for dysphagia was unrevealing until cross-sectional imaging suggested a mediastinal obstructive process. The finding of a mediastinal granuloma, distinct from mediastinal fibrosis, as the aetiology of dysphagia is a rare finding, with specific treatment implications. The patient was treated with itraconazole antifungal therapy with an improvement in her symptoms.

PMID: 27302638 [PubMed - in process]

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