Achalasia

Case contributed by Dr Ian Bickle

Presentation

Known congestive cardiac failure, gradually more shortness of breath ? fluid ? other cause

Patient Data

Age: 85 years
Gender: Female
X-ray

Widening of the mediastinal contours by a gas filled esophagus, which can be followed down to the diaphragm.

Heart size normal. Lungs clear.

Case Discussion

The gas filled dilated esophagus is consistent with achalasia.  In some cases, an air fluid level may also be observed,

This is not to be confused with a gastric pull up.  In this case, a thoracotomy would be evident and the widening of the mediastinum would not extend above the clavicles as in this case. 

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Case information

rID: 83153
Published: 16th Oct 2020
Last edited: 16th Oct 2020
Inclusion in quiz mode: Included

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