Case contributed by Mohammadtaghi Niknejad


Work up for dysphagia and vomiting.

Patient Data

Age: 80 years
Gender: Male

There is marked dilatation and contrast media stasis in the esophagus with tapering at the lower esophageal sphincter and irregular narrowing at the esophagogastric junction.

Case Discussion

Further endoscopic evaluation was performed regarding irregularities at the esophagogastric junction, and pseudoachalasia due to tumoral infiltration was ruled out.

Features are consistent with achalasia and a rat's tail sign.

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