Achalasia

Case contributed by Dr Alexandra Stanislavsky

Presentation

Recurrent chest infections.

Patient Data

Age: 15
Gender: Female
X-ray

There are prominent perihilar interstitial markings and patchy airspace opacification.  

CT

Grossly distended oesophagus contains a large amount of food debris.  There are numerous small foci of airspace and groundglass opacification.  Given the appearance of the oesophagus, the lung changes most likely reflect aspiration.

Fluoroscopy

Distended oesophagus and bird beak appearance of the oesophageal sphincter, in a pattern typical of achalasia.

Case Discussion

Typical fluoroscopic appearance of achalasia, with secondary aspiration seen on chest imaging.

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Case information

rID: 14946
Case created: 7th Sep 2011
Last edited: 29th Aug 2015
Inclusion in quiz mode: Included

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