Achalasia

Case contributed by Dr Hani Salam

Presentation

Dysphagia

Patient Data

Age: 80 years
Gender: Female
X-ray

Right paravertebral region elongated opacity that produce mass effect on the posterior wall of the trachea seen on the lateral projection.

Fluoroscopy

Huge dilatation of the oesophagus, with tapering at the gastro-oesophageal junction representing the bird beak sign. No shouldering or obstructing lesion is seen.

CT

Heterogenous and dependent contents seen in a dilated oesophagus that produce mass effect on the heart and tracheobronchial tree.

Case Discussion

Achalasia is characterized by absent peristalsis of the oesophagus and incomplete relaxation of the lower oesophageal sphincter, resulting in marked dilatation and poor oesophageal emptying.

 

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Case information

rID: 44094
Published: 11th Mar 2017
Last edited: 5th Apr 2018
System: Chest
Inclusion in quiz mode: Included

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