Chronic achalasia

Case contributed by Dr Catriona Reid , 28 Oct 2016
Diagnosis almost certain
Changed by Henry Knipe, 24 Nov 2016

Updates to Case Attributes

Title was changed:
Chronic Achalasiaachalasia
Status changed from pending review to published (public).
Published At was set to .
Body was changed:

The diagnosis of achalasia was confirmed on oesophagogastroduodenoscopy (OGD). The case provides an example of how achalasia can present on chest radiographs, and highlights a differential for a widened mediastinum.

Case submitted by Dr Catriona Reid and Dr Alaa Ismail.

  • -<p>The case provides an example of how achalasia can present on chest radiographs, and highlights a differential for a widened mediastinum.</p><p>Case submitted by Dr Catriona Reid and Dr Alaa Ismail</p><script>window.post_1479989158445_7 = function(win,msg){
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  • +<p>The diagnosis of achalasia was confirmed on oesophagogastroduodenoscopy (OGD). The case provides an example of how achalasia can present on chest radiographs and highlights a differential for a widened mediastinum.</p><p>Case submitted by Dr Catriona Reid and Dr Alaa Ismail.</p>

References changed:

  • http://learningradiology.com/notes/ginotes/achalasiapage.htm

Updates to Study Attributes

Caption was removed:
Initial chest radiograph
Findings was changed:

Chest radiograph demonstrated a widened mediastinum with a mottled tubular structure demonstrated superiorly at the sternoclavicular joint extending down to the diaphragm.

Images Changes:

Image X-ray (Frontal) ( update )

Description was removed:
Chest radiograph demonstrated a widened mediastinum with a mottled tubular structure.

Updates to Study Attributes

Caption was removed:
CT Chest
Findings was changed:

CT chest/abdomen/pelvis demonstrated gross distension of the entire oesophagus with food debris.

Updates to Study Attributes

Findings was changed:

Barium swallow corroborated these findings and also demonstrated a stricturednarrowed distal oesophagus.

The diagnosis of achalasia was confirmed on oesophago-gastroduodenoscopy (OGD).

Updates to Quizquestion Attributes

Answer was changed:
Lower oesophageal sphincter relaxation.

Updates to Quizquestion Attributes

Answer was changed:
False. Men and women are equally affected.
Question was changed:
Achalasia more typically affects women, true or Falsefalse?

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