OBJECTIVES: 1. To present a case of a patient with a cervical web in the upper esophagus. 2. To review the written literature on the diagnosis and management of cervical webs.
SETTING: Outpatient clinic and tertiary care hospital
CASE SUMMARY: Cervical webs are thin, transverse membranes in the upper esophagus that rarely encircle the esophageal lumen. If symptomatic, they cause intermittent dysphagia for solids, but not usually for liquids. A 51-year old Filipino female consulted for chronic and non-progressive dysphagia for solids. She had previous work-up that did not reveal the etiology of her symptoms. Barium esophagogram and esophagoscopy documented a cervical web in the upper esophagus. She underwent esophageal bougienage using BARD American dilators. She had resolution of her symptoms post-procedure. Strong clinical suspicion on the part of the gastroenterologist should lead to diagnosis of a cervical web and subsequent treatment.