Esophageal achalasia - child

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Persistent vomiting and dysphagia.

Patient Data

Age: 1 year
Gender: Male
Fluoroscopy

There is marked dilatation of the esophagus with a bird beak appearance at the gastroesophageal junction.

There was evidence of aspiration as well during the exam evident by linear contrast opacifying the trachea.

Case Discussion

However, strange for the patient's age, the imaging features are typical for esophageal achalasia.

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