A barium swallow exam is useful for studying a wide range of pathologies, such as motility disorders. In this case the patient had a diagnosis of Chagas disease for almost 15 years and he has been under specialized care already for a long time. His symptoms progressively worsened throughout time despite conservative treatments.

Contributed by Dr. Guilherme Pioli Resende M.D. and Dr. Marcello Antônio de Rezende Basilio M.D.