Achalasia

Case contributed by Dr Ian Bickle

Presentation

Heller's myotomy several years prior. Weight loss and unable to eat normal sized meals. Hypokalemic.

Patient Data

Age: 35 years
Gender: Male
CT

The esophagus is grossly dilated with food residue from the cervical esophagus down to the gastro-esophageal junction.

Collapsed normal stomach.

Lungs clear.

Case Discussion

A gross example of achalasia, which was unresponsive to a Heller's procedure.

This degree of dilatation is typically even evident on a chest x-ray, due to widening of the mediastinal contour.

A barium swallow is conventionally undertaken which demonstrates adynamic motility in addition to a dilated esophagus and gastro-esophageal junction obstruction.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.