Case contributed by Dr Naim Qaqish


Long standing dysphagia for both solids and liquids.

Patient Data

Age: 45 years
Gender: Male


Smooth narrowing of the distal esophagus is seen with slow passage of contrast even in standing position, associated with moderate dilatation proximally and air fluid level compatible with achalasia.

No evidence of reflux or hernia.

No evidence of contrast aspiration.

Hypopharynx appears normal with normal swallowing mechanism.

Case Discussion

This is 45 year old gentleman presenting with mainly dysphagia to both solids and liquids. The gastrointestinal team requested barium swallow and showed typical appearances of achalasia, and proceeded afterwards with upper endoscopy with findings that also supported primary achalasia.

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Case information

rID: 82963
Published: 11th Oct 2020
Last edited: 25th Oct 2020
Inclusion in quiz mode: Included

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