Case report

An 8-year-old male child visited the outpatient department with complaints of inability to swallow solid food. On examination, general condition and nourishment were good. The child was not anemic. Vital signs were examined and were normal. Examination of cardiovascular and respiratory systems did not show any abnormality. Examination of the abdomen was also normal. Upper gastrointestinal endoscopy was performed; however, the scope could not be passed beyond the lower one-third of the esophagus (figure 1). Esophagogram was performed following upper gastrointestinal endoscopy, which showed the presence of a long stenotic segment in the lower end of the esophagus (figure 2). The patient was then taken up for oral contrast CT, which again showed a long segment of stenosis in the lower end of the esophagus (figure 3). This resulted in the proposition of three differential diagnoses, namely CES, stenosis secondary to reflux esophagitis and achalasia cardia, and surgery was planned. After performing a right lateral thoracotomy in the sixth intercostal space, a dilated esophagus with narrowing and thickening of about 2.5–3 cm was found in the lower one-third. Fogarty catheter was inserted, inflated, and pulled up. However, the distal esophagus near the gastroesophageal junction …