Author(s): Michiel Bronswijk, Jan Tack

An 80-year-old male patient, with a history of Alzheimer's disease and recurrent idiopathic angioedema, was evaluated at the emergency room for another episode of angioedema. He also mentioned slowly increasing dysphagia and cervical discomfort, which had started 3 years earlier. Physical examination showed regressing oropharyngeal angioedema and manifest hyperkyphosis. Cervical computed tomography (CT) was performed, revealing compression of the proximal esophagus (Fig. 1). Subsequent fluoroscopic evaluation confirmed extrinsic esophageal compression with reduced patency, laryngeal contrast stasis and mild tracheal aspiration.


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