CTICasesEsophageal Food Bolus Impaction
Imaging findings
Imaging shows lateral displacement of the normal lung-mediastinal interface at the aortoesophageal recess due to a markedly distended esophagus filled with retained food material, later confirmed to be turkey and mashed potatoes, consistent with an esophagogastric junction obstruction.
Key takeaways
The patient presented to the emergency department after a meal with a sensation that food had not passed into his stomach. Recognizing the distended, food-filled esophagus as the cause of the displaced mediastinal interface allowed rapid correlation with the clinical history. Endoscopy successfully pushed the food bolus into the stomach, with further evaluation planned for an underlying esophageal obstruction.
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