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A rare cause of dysphagia
  1. José M Conchillo1,
  2. Michiel de Haan2,
  3. Geert W H Schurink3,
  4. Ad A M Masclee1
  1. 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
  2. 2Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands
  3. 3Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands
  1. Correspondence to Dr José M Conchillo, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, The Netherlands; j.conchillo{at}mumc.nl

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Clinical presentation

A 54-year-old woman, with a history of partial strumectomy due to hyperthyroidism, was referred for evaluation of chronic dysphagia for solids for more than 10 years. In the last few months, she was only fed on a liquid diet and lost approximately 6 kg in weight. Neither reflux symptoms nor thoracic pain were present. Physical examination and screening blood tests were unremarkable. Upper endoscopy (supplementary video, figure 1), oesophageal high-resolution manometry (figure 2 …

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