Achalasia

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Vomiting

Patient Data

Age: 4 years
Gender: Female
Fluoroscopy

Significant dilatation of proximal oesophagus with tapering at the distal parts giving the appearance of bird beak sign.

Pooling of contrast material in the oesophagus.

A delayed image shows opacification of stomach and bowel loops.

 

 

Case Discussion

The imaging findings are suggestive of a motility disorder likely to be achalasia. For definitive diagnosis manometry can be considered.

This case is also contributed by Dr. M.M.S. Hoshang

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