Article ; Online: Achalasia-associated megaoesophagus presenting with dyspnoea and cough.
BMJ case reports
2024 Volume 17, Issue 2
Abstract: We present an unusual case of achalasia presenting with dyspnoea and persistent cough. These symptoms persisted for months, leading to the patient undergoing a chest X-ray by her general practitioner which showed right basal consolidation and a density ... ...
Abstract | We present an unusual case of achalasia presenting with dyspnoea and persistent cough. These symptoms persisted for months, leading to the patient undergoing a chest X-ray by her general practitioner which showed right basal consolidation and a density extending along the right mediastinum. CT scan was done which revealed megaoesophagus with a diameter of 7 cm causing tracheal compression, as well as right basal consolidation, consistent with aspiration. Further history revealed 6-month history of progressive swallowing difficulty, retrosternal chest pain and shortness of breath which worsened when eating solid foods. After thorough workup, a diagnosis of idiopathic achalasia (type II) was made. She was treated with laparoscopic Heller cardiomyotomy and Dor fundoplication with significant improvement at follow-up. Dyspnoea and respiratory symptoms are unusual presenting symptoms, suggesting a need to consider achalasia in a wider range of presentations. Successful treatment of achalasia depends on timely diagnosis and intervention prior to oesophageal failure. |
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MeSH term(s) | Female ; Humans ; Esophageal Achalasia/diagnosis ; Esophageal Achalasia/diagnostic imaging ; Laparoscopy ; Fundoplication ; Dyspnea/surgery ; Cough/complications ; Treatment Outcome |
Language | English |
Publishing date | 2024-02-17 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2023-258950 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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