Achalasia

Case contributed by Dr Mario Umana

Presentation

History of chronic alcohol abuse with long time chest pain, dysphagia and nocturnal cough.

Patient Data

Age: 59
Gender: Male
Modality: X-ray

Right paracardiac opacity without silhouette sign. Air-fluid level in the mediastinum.

Modality: Fluoroscopy

Severe dilation of the thoracic oesophagus with a bird beak sign.

Case Discussion

This was a patient with a history of chronic alcohol abuse with long time chest pain, dysphagia and nocturnal cough. Findings are most suggestive of achalasia. There is a classic bird beak sign at the gastro-oesophageal junction.

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Case Information

rID: 38071
Case created: 3rd Jul 2015
Last edited: 27th Sep 2015
Inclusion in quiz mode: Included

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