An Unusual Cause of Dysphagia

We present a case of 92 yr female who was not a known case of any chronic illness and presented with gradually progressive dysphagia for last one year. There was no history of weight loss, fever, haematemesis or melaena. On evaluation except for mild anaemia, rest of labs parameters and ultrasound abdomen were normal. She was subjected to upper G.I. endoscopy (Figure 2) which revealed large posterior pharyngeal bulge with smooth mucosa, non tender and non pulsatile. The rest of the gastrointestinal tract examination were normal. She was thought to be having retropharyngeal mass lesion and was subjected to computed tomography scan of neck and thorax (Figures 1&3) which revealed severe osteophytic changes in cervical spine with spurs which were causing extrinsic compression over cervical oesophagus. The patient underwent surgical decompres- An Unusual Cause of Dysphagia Malhotra P, Sanwariya Y, Dahiya H, Chugh A, Malhotra V, Malhotra N Department of Medical Gastroenterology, Medicine, Gynaec.&Obstetrics, Anaesthesiology, PGIMS Rohtak. Correspondence to: Parveen Malhotra, Head, Department of Medical Gastroenterology, PGIMS, Rohtak, Haryana (124001) Fig.1. CT Scan showing compression from osteophytic changes with spur. sion successfully and causative spur was removed.