Achalasia of the cardia

Case contributed by Melbourne Uni Radiology Masters

Presentation

Dysphagia for solids for 9 months.

Patient Data

Age: 40-year-old
Gender: Male
CT

CT Chest and CT Abdomen

CT chest, abdomen with Oral and IV contrast:

Gross distension of the entire oesophagus down to be the gastroesophageal junction, consistent with achalasia.

No obvious evidence of complicating oesophageal carcinoma. No mediastinal lymphadenopathy.

Lung fields are unremarkable with no evidence of chronic aspiration.

In the abdomen the appearances are unremarkable.

Case Discussion

The case shows typical achalasia of the cardia with oesophageal dilatation and tortuosity due to the failure of relaxation of the lower oesophageal sphincter possibly due to degeneration of myenteric Auerbach's Plexus. The main differential diagnosis is 2ry achalasia due to lower oesophageal or gastroesophageal carcinoma (pseudoachalasia).

 

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Case information

rID: 38497
Published: 30th Aug 2015
Last edited: 16th Jul 2018
Tag: rmh
Inclusion in quiz mode: Included

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