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November 1961

Esophageal Obstruction Due to Aberrant Intercostal Artery: Report of a Case

Author Affiliations

From U.S. Naval Hospital, Philadelphia.

Arch Surg. 1961;83(5):749-751. doi:10.1001/archsurg.1961.01300170105020

Esophageal obstruction has been reported to result from several types of congenital vascular abnormalities. However, review of the literature has failed to reveal a report of esophageal obstruction due to an aberrant intercostal artery. Such a case is reported here.

Report of Case  A 16-month-old Caucasian male had occasional vomiting immediately after ingestion of food, first noticed when he was 2 months old. At 14 months of age he became unable to retain lumpy foods, but continued to tolerate fluids and strained foods well, and on July 13, 1959, he was admitted to U.S. Naval Hospital, Philadelphia. Fluoroscopic and film examination of the swallowing function and esophagus revealed marked narrowing of the distal esophagus just above the diaphragm (Fig. 1). Esophagoscopy revealed a constriction at this same site, 19 cm. from the alveolar ridge. Biopsy of a ridge of mucosal tissue at this narrow area of constriction was obtained and