Case contributed by Mohammadtaghi Niknejad


Patient present with dysphagia and chest discomfort

Patient Data

Age: Middle age
Gender: Male

Absence of the gastric air bubble and wide upper mediastinum which shows esophageal wall suggest achalasia.


Acute tapering at the lower esophageal sphincter and narrowing at the gastro-esophageal junction, producing a "bird's beak" or "rat's tail" appearance.

Case Discussion

Featured consistent of achalasia.

A case of Prof. Saeed Rad , Tabriz, Iran.

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