02/01/2026
๐๐๐๐ข๐ง๐ข๐ญ๐ข๐ฏ๐ ๐๐ฎ๐ซ๐ ๐ข๐๐๐ฅ ๐๐๐ง๐๐ ๐๐ฆ๐๐ง๐ญ ๐จ๐ ๐๐๐ฏ๐๐ซ๐ ๐๐ข๐-๐๐ฌ๐จ๐ฉ๐ก๐๐ ๐๐๐ฅ ๐๐ญ๐ซ๐ข๐๐ญ๐ฎ๐ซ๐ ๐ข๐ง ๐๐ง ๐๐๐จ๐ฅ๐๐ฌ๐๐๐ง๐ญ
A 16-year-old boy presented to ๐๐ญ๐ก๐ข๐จ ๐๐๐๐ข๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ ๐ซ๐๐๐๐ซ๐ซ๐๐ ๐๐ซ๐จ๐ฆ ๐๐๐ซ๐ ๐๐ฌ๐ฌ๐ with a six-year history of ๐ข๐ง๐ญ๐๐ซ๐ฆ๐ข๐ญ๐ญ๐๐ง๐ญ ๐ฏ๐จ๐ฆ๐ข๐ญ๐ข๐ง๐ ๐๐ง๐ ๐ฉ๐ซ๐จ๐ ๐ซ๐๐ฌ๐ฌ๐ข๐ฏ๐ ๐๐ข๐๐๐ข๐๐ฎ๐ฅ๐ญ๐ฒ ๐ฌ๐ฐ๐๐ฅ๐ฅ๐จ๐ฐ๐ข๐ง๐ , which had significantly worsened over the preceding two months.
Initially experiencing difficulty with solid foods, his symptoms rapidly progressed to include semi-solid and liquid foods, eventually reaching a point where ๐ก๐ ๐๐จ๐ฎ๐ฅ๐ ๐ง๐จ๐ญ ๐ฌ๐ฐ๐๐ฅ๐ฅ๐จ๐ฐ ๐๐ฏ๐๐ง ๐ก๐ข๐ฌ ๐ฌ๐๐ฅ๐ข๐ฏ๐. This was accompanied by recurrent choking episodes, persistent cough, voice changes, shortness of breath, marked weight loss, and loss of appetite, profoundly affecting his daily life and nutritional status. There was no history of caustic ingestion or chronic medical illness.
Investigations
โ
๐๐๐ซ๐ข๐ฎ๐ฆ ๐ฌ๐ฐ๐๐ฅ๐ฅ๐จ๐ฐ revealed a complete obstruction at the mid-thoracic esophagus (T8โT9 level) consistent with a ๐๐๐ง๐ข๐ ๐ง ๐๐ฌ๐จ๐ฉ๐ก๐๐ ๐๐๐ฅ ๐ฌ๐ญ๐ซ๐ข๐๐ญ๐ฎ๐ซ๐.
โ
๐๐๐ demonstrated a ๐ฌ๐๐ฏ๐๐ซ๐ ๐๐๐ง๐ข๐ ๐ง ๐ฆ๐ข๐-๐๐ฌ๐จ๐ฉ๐ก๐๐ ๐๐๐ฅ ๐ฌ๐ญ๐ซ๐ข๐๐ญ๐ฎ๐ซ๐, which was not amenable to endoscopic dilation.
โ
๐๐ก๐๐ฌ๐ญ ๐๐ ๐ฌ๐๐๐ง showed marked ๐ฉ๐ซ๐จ๐ฑ๐ข๐ฆ๐๐ฅ ๐๐ฌ๐จ๐ฉ๐ก๐๐ ๐๐๐ฅ ๐๐ข๐ฅ๐๐ญ๐๐ญ๐ข๐จ๐ง ๐ฐ๐ข๐ญ๐ก ๐ ๐๐จ๐ฅ๐ฅ๐๐ฉ๐ฌ๐๐ ๐ฆ๐ข๐-๐ญ๐จ-๐๐ข๐ฌ๐ญ๐๐ฅ ๐ฌ๐๐ ๐ฆ๐๐ง๐ญ ๐ฆ๐๐๐ฌ๐ฎ๐ซ๐ข๐ง๐ ๐๐ฉ๐ฉ๐ซ๐จ๐ฑ๐ข๐ฆ๐๐ญ๐๐ฅ๐ฒ ๐.๐ ๐๐ฆ, ๐ฐ๐ข๐ญ๐ก๐จ๐ฎ๐ญ ๐ฌ๐ข๐ ๐ง๐ข๐๐ข๐๐๐ง๐ญ ๐ฆ๐ฎ๐ซ๐๐ฅ ๐ญ๐ก๐ข๐๐ค๐๐ง๐ข๐ง๐ . The distal esophagus appeared normal, followed by a short (1 cm) collapsed and mildly thickened segment.
The patient underwent a ๐ซ๐ข๐ ๐ก๐ญ ๐ฉ๐จ๐ฌ๐ญ๐๐ซ๐จ๐ฅ๐๐ญ๐๐ซ๐๐ฅ ๐ญ๐ก๐จ๐ซ๐๐๐จ๐ญ๐จ๐ฆ๐ฒ, during which a short-segment (approximately 1 cm) mid-esophageal stricture was identified. The ๐๐ข๐ฌ๐๐๐ฌ๐๐ ๐ฌ๐๐ ๐ฆ๐๐ง๐ญ ๐ฐ๐๐ฌ ๐ซ๐๐ฌ๐๐๐ญ๐๐, ๐๐จ๐ฅ๐ฅ๐จ๐ฐ๐๐ ๐๐ฒ ๐ ๐ฉ๐ซ๐ข๐ฆ๐๐ซ๐ฒ ๐๐ง๐-๐ญ๐จ-๐๐ง๐ ๐๐ฌ๐จ๐ฉ๐ก๐๐ ๐๐๐ฅ ๐๐ง๐๐ฌ๐ญ๐จ๐ฆ๐จ๐ฌ๐ข๐ฌ.
Postoperatively, the patient made a ๐ซ๐๐ฆ๐๐ซ๐ค๐๐๐ฅ๐ฒ ๐ฌ๐ฆ๐จ๐จ๐ญ๐ก ๐ซ๐๐๐จ๐ฏ๐๐ซ๐ฒ, remaining stable and free from complications. With careful nutritional support via nasogastric feeding and appropriate antibiotic therapy, he was able to ๐ฌ๐ญ๐๐ซ๐ญ ๐จ๐ซ๐๐ฅ ๐ฌ๐ข๐ฉ๐ฌ ๐๐ฒ ๐ญ๐ก๐ ๐ฌ๐๐๐จ๐ง๐ ๐๐๐ฒ, gradually progressing to small, frequent meals.
By the time of discharge, ๐ก๐ ๐ก๐๐ ๐ซ๐๐ ๐๐ข๐ง๐๐ ๐ญ๐ก๐ ๐๐๐ข๐ฅ๐ข๐ญ๐ฒ ๐ญ๐จ ๐ฌ๐ฐ๐๐ฅ๐ฅ๐จ๐ฐ ๐ง๐จ๐ซ๐ฆ๐๐ฅ๐ฅ๐ฒ, enjoy meals comfortably, and return to daily activities, marking a transformative improvement in his quality of life.
๐๐ญ๐ก๐ข๐จ ๐๐๐๐๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ is equipped with a dedicated pediatric surgery team and comprehensive multidisciplinary support, enabling timely and definitive management of complex pediatric surgical conditions.
๐๐๐ค๐ง๐จ๐ฐ๐ฅ๐๐๐ ๐ฆ๐๐ง๐ญ:
This case was expertly managed by Ethio TEBIB Hospitalโs full time Pediatric Surgeon ๐๐ซ. ๐๐ซ๐จ๐ง ๐/๐ ๐๐๐ซ๐ข๐๐ฅ, along with the committed ๐๐๐๐ข๐๐ญ๐ซ๐ข๐ ๐๐ฎ๐ซ๐ ๐๐ซ๐ฒ ๐ญ๐๐๐ฆ๐ฌ ๐๐ญ ๐๐ญ๐ก๐ข๐จ ๐๐๐๐ข๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ, highlighting the hospitalโs dedication to delivering advanced, multidisciplinary care.
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