Achalasia (CT)

Case contributed by Dr Ammar Haouimi

Presentation

One year history of progressive dysphagia to the solids and recently for liquids with chest discomfort and weight loss. CT requested by treating physican to rule out malignancy.

Patient Data

Age: 20 years
Gender: Male
CT

The esophagus is grossly dilated with thin-walled, filled with fluid/food debris with bird beak sign at the gastro-esophageal junction.

No mediastinal or hilar lymphadenopathy seen.

Both lungs are clear (lung window not shown).

An enlarged liver is noted (incidental finding).

 

Case Discussion

CT Features of an achalasia

CT has little role in directly assessing patients with achalasia but is useful in the assessment of the esophageal wall to identify any focal thickening which may indicate malignancy.

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Case information

rID: 78950
Published: 18th Jun 2020
Last edited: 18th Jun 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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