Presentation
Dysphagia to solids and liquids, with food residue found in the oesophagus during upper endoscopy.
Patient Data
Age: 40 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/96985/annotated_viewer_json?lang=gb"}
Diffuse oesophageal dilatation due to contrast delay at the lower oesophageal sphincter, with smooth, short segment tapering resembling a bird's beak.
In supine position, oesophageal dilatation and tertiary contractions can be appreciated.
Case Discussion
The patient's history, upper endoscopy, and barium swallow findings point toward achalasia, a primary disorder of the both the lower oesophageal sphincter and of oesophageal motility. Manometry would be confirmatory.