Esophageal strictures may result from common conditions such as gastroesophageal
reflux disease. Dysphagia is by far the most common presenting complaint in
patients with esophageal peptic stricture. Symptomatic peptic strictures are treated
by dilatation via ballooning or bougienation. Vascular ring is a term given to a
combination of vascular and often ligamentous structures that encircle the trachea
and esophagus. Symptomatic vascular ring, also known as dysphagia lusoria, is
generally treated by conservative management. However, surgery should be
considered when symptoms persist regardless of the treatment. We experienced a
case involving a 41-year-old man with dysphagia diagnosed with peptic stricture
on upper endoscopy and concomitant vascular ring on chest CT, which proved
asymptomatic.