Achalasia

Case contributed by Dr Bahman Rasuli

Presentation

Dysphagia for both solids and liquids for 5 years.

Patient Data

Age: 15 years
Gender: Female
Fluoroscopy

Dilatation of the esophagus with smooth distal narrowing and tapering (bird beak appearance), characteristic of achalasia

Normal mucosal pattern of the esophagus with no irregularities or ulceration

No evidence of hiatus hernia.

Case Discussion

Barium swallow demonstrates dilatation of the esophagus with distal narrowing and tapering producing a bird beak appearance characteristic for esophageal achalasia.

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