Total esophageal food impaction in the era of the COVID-19 pandemic: a delayed presentation in a patient with Parkinson’s disease

Total esophageal food impaction is extremely rare. We report a patient with Parkinsonism who presented with total dysphagia to solids and liquids and with inability to swallow her saliva of 3 days duration. She did not present sooner as she was afraid of contracting COVID-19 during hospitalization....

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Detalles Bibliográficos
Autores principales: Jabak, Suha J., Malak, Dima, Kerbage, Anthony, Shaib, Yasser H., Barada, Kassem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pan-Arab Association of Gastroenterology. Published by Elsevier B.V. 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343746/
https://www.ncbi.nlm.nih.gov/pubmed/35973918
http://dx.doi.org/10.1016/j.ajg.2022.07.003
Descripción
Sumario:Total esophageal food impaction is extremely rare. We report a patient with Parkinsonism who presented with total dysphagia to solids and liquids and with inability to swallow her saliva of 3 days duration. She did not present sooner as she was afraid of contracting COVID-19 during hospitalization. Chest CT scan revealed total esophageal food impaction. Awake fiberoptic endotracheal intubation followed by EGD and clearance of the impacted food were performed. This patient illustrates esophageal involvement in Parkinson’s disease, delayed presentation with an emergency in the COVID-19 era, and the multidisciplinary approach to minimize the risk of aspiration during endoscopy.

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