Dysphagia and regurgitation in a 10-year-old child.

Accepted 24 October 1997 A 1 0-year-old girl presented with a four-month history of progressive difficulties with swallowing, regurgitation and weight loss. Medical history did not reveal any episode of choking, dysphagia or respiratory symptoms. Dysphagia had worsened during the last two weeks. On admission physical examination was unremarkable. There was no swelling, tenderness or crepitus in her neck. Routine blood chemistry, tumour markers and urinary catecholamine metabolites were considered within normal limits. A barium swallow (figure 1) and thoracic computed tomography (CT) were performed (figure 2).