A case with marked esophageal dilatation and bilateral upper lobe tuberculosis
Taniai, S.; Miyazato, I.; Chida, M.; Shimase, J.; Takayama, S.; Tsutsui, H.; Shinohara, Y.; Kametani, J.; Imagawa, U.; Hashimoto, K.; Mitsunaga, K.
Kekkaku 56(2): 75-80
1981
ISSN/ISBN: 0022-9776 PMID: 7265607 Document Number: 172439
A 73 yr old man was hospitalized because of cough, sputum and disturbance in swallowing. Tuberculosis was diagnosed 10 yr before admission and was treated with various antituberculous drugs; acid-fast bacilli were found occasionally in the sputum. The chest X-ray film revealed large cavity-like shadows and tuberculous lesions in the bilateral upper lobes. These shadows were interpreted as large tuberculous cavities because the cavitary shadows were located in tuberculous lesions. Ba examination of the upper gastrointestinal tract proved that the cavity-like shadow in the right lung field was a fist-sized esophageal dilatation. The esophageal dilatation was apparently induced by marked shrinkage and traction of tuberculous lesions.