Achalasia

Case contributed by Rodrigo Encinas-Escobar
Diagnosis almost certain

Presentation

Long standing dysphagia.

Patient Data

Age: 25 years
Gender: Male
Fluoroscopy

The oesophagus is dilated with absent dilatation of the lower oesophageal sphincter.

Bird beak sign.

Case Discussion

Typical appearance of oesophageal achalasia, the differential diagnosis should consider oesophageal cancer.

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