BMJ Case Reports 2017; doi:10.1136/bcr-2017-223687
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Dysphagia lusoria presenting as epigastric pain

  1. Samer Al Hadidi2
  1. 1Internal Medicine, Hurley Medical Center, Flint, Michigan, USA
  2. 2Department of Internal Medicine, Hurley Medical Center/Michigan State University, Flint, Michigan, USA
  1. Correspondence to Dr Samer Al Hadidi, salhadi1{at}
  • Accepted 27 November 2017
  • Published 5 December 2017


A 36-year-old African–American woman with medical history of systemic lupus erythematosus, lupus nephritis, protein S deficiency and recurrent deep venous thrombosis presented to outpatient clinic complaining of epigastric pain associated with nausea, vomiting and unintentional weight loss. Esophagogastroduodenoscopy (EGD) was performed; however, mucosal tear was noted following severe retching. Subsequently, the procedure was terminated. EGD was significant for distal oesophageal obstruction. CT of the chest with contrast was significant for pneumomediastinum. Moreover it demonstrated an aberrant right subclavian artery …

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