Achalasia

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Long-standing dysphagia.

Patient Data

Age: 30 years
Gender: Male

Barium swallow

Fluoroscopy

Dilatation of the visualized distal part of esophagus with barium stasis and distal tapering at the lower esophageal sphincter and narrowing at the gastro-esophageal junction with characteristic appearances of bird beak sign or rat-tail sign.

Case Discussion

Typical appearance of achalasia with bird beak sign in barium swallow. The patient had multiple attempts of balloon dilatation but there was little improvement. The patient was referred for laparoscopic myotomy.

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