Achalasia

Case contributed by Dr Derek Smith

Presentation

Admitted with shortness of breath. Few bibasal crackles on auscultation. ? pneumonia ? fluid overload

Patient Data

Age: 60
Gender: Male
X-ray

Distended oesophagus with gas/fluid level at the level of the carina.

Chronic left basal changes. No focal consolidation or lobar collapse.

Normal heart size with normal pulmonary vascularity. Pleural spaces clear.

Fluoroscopy

Previous barium swallow

Double-contast study:

Distended atonic oesophagus with relaxed lower oesophageal sphincter.

No mass or stricture.

Case Discussion

This patient had advanced achalasia which was an incidental finding on the admission CXR.

No features of aspiration which these patients are at higher risk of.

PlayAdd to Share

Case information

rID: 49713
Case created: 30th Nov 2016
Last edited: 17th Jan 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.