BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5315
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Asymptomatic double aortic arch with compressed oesophagus in an adult

  1. Nagio Takigawa1
  1. 1General Internal Medicine 4, Kawasaki Medical School, Okayama, Japan
  2. 2Hematology, Oncology, and Respiratory Medicine, University Graduate School of Medicine, Okayama, Japan
  1. Correspondence to Professor Nagio Takigawa, ntakigaw{at}


A 56-year-old man presented with epigastralgia and had lost 10% of his body weight over a period of 6 months. The results of physical examination were normal. No abnormal shadow was detected on chest x-ray (figure 1A). Oesophagography showed compression of the oesophagus (figure 1B, arrow), although the patient did not complain of dysphagia. Oesophagogastroduodenoscopy revealed …

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