Megaesophagus
Achalasia is a disorder of the primary motility of the esophagus characterized by insufficient relaxation of the lower part esophageal sphincter and absence of esophageal peristalsis, clinically it presents dysphagia for solids and liquids and "bird-beak" appearance on endoscopic and radio...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2021-02-01
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| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/38/138/pdf/138.pdf
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| _version_ | 1818917003397693440 |
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| author | Danilo Coco Silvana Leanza |
| author_facet | Danilo Coco Silvana Leanza |
| author_sort | Danilo Coco |
| collection | DOAJ |
| description | Achalasia is a disorder of the primary motility of the esophagus characterized by insufficient relaxation of the lower part esophageal sphincter and absence of esophageal peristalsis, clinically it presents dysphagia for solids and liquids and "bird-beak" appearance on endoscopic and radiological studies. A 77-year-old man presented at our emergency room with a ten year history of dysphagia for solids and liquids, regurgitation and substernal chest pain after meals. He reported vomiting. Her medical history included arterial hypertension. She had no a previous surgical history of any type of surgery. In the past, he had refused any kind of treatment. He had a Glasow coma scale (GCS) of 15. His vital signs showed hypertension with arterial blood pressure of 180/100 mmHg, not tachycardia and not fever. Routine blood investigations not showed leukocytosis, normal hemoglobin and protein chain reaction (PCR) in the range. Arterial blood gas was normal. Upon physical examination, thoracic auscultation revealed decreased vesicular breath sounds in both hemithorax. Abdominal examination was unremarcable. A chest radiography revealed an air-fluid level. Thoracic-abdominal computed tomography (CT) scan demonstrated mega-esophagus with an air-fluid levels, a dilated and tortuous esophageal lumen and numerous food ingestis. Upper gastrointestinal endoscopy showed a dilated esophagus, food ingestis and mucosal ulcers. The patient refused operation but we made a multidisciplinary meeting to discuss how to treat other future cases like this. |
| first_indexed | 2024-12-20T00:27:09Z |
| format | Article |
| id | doaj.art-fcc4b23eeee945e2b51373d8083e1db6 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T00:27:09Z |
| publishDate | 2021-02-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-fcc4b23eeee945e2b51373d8083e1db62022-12-21T20:00:03ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882021-02-013813810.11604/pamj.2021.38.138.2793727937MegaesophagusDanilo Coco0Silvana Leanza1 Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro (PU), Italy Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy Achalasia is a disorder of the primary motility of the esophagus characterized by insufficient relaxation of the lower part esophageal sphincter and absence of esophageal peristalsis, clinically it presents dysphagia for solids and liquids and "bird-beak" appearance on endoscopic and radiological studies. A 77-year-old man presented at our emergency room with a ten year history of dysphagia for solids and liquids, regurgitation and substernal chest pain after meals. He reported vomiting. Her medical history included arterial hypertension. She had no a previous surgical history of any type of surgery. In the past, he had refused any kind of treatment. He had a Glasow coma scale (GCS) of 15. His vital signs showed hypertension with arterial blood pressure of 180/100 mmHg, not tachycardia and not fever. Routine blood investigations not showed leukocytosis, normal hemoglobin and protein chain reaction (PCR) in the range. Arterial blood gas was normal. Upon physical examination, thoracic auscultation revealed decreased vesicular breath sounds in both hemithorax. Abdominal examination was unremarcable. A chest radiography revealed an air-fluid level. Thoracic-abdominal computed tomography (CT) scan demonstrated mega-esophagus with an air-fluid levels, a dilated and tortuous esophageal lumen and numerous food ingestis. Upper gastrointestinal endoscopy showed a dilated esophagus, food ingestis and mucosal ulcers. The patient refused operation but we made a multidisciplinary meeting to discuss how to treat other future cases like this. https://www.panafrican-med-journal.com/content/article/38/138/pdf/138.pdf mega esophagusachalasia(ct) scan |
| spellingShingle | Danilo Coco Silvana Leanza Megaesophagus The Pan African Medical Journal mega esophagus achalasia (ct) scan |
| title | Megaesophagus |
| title_full | Megaesophagus |
| title_fullStr | Megaesophagus |
| title_full_unstemmed | Megaesophagus |
| title_short | Megaesophagus |
| title_sort | megaesophagus |
| topic | mega esophagus achalasia (ct) scan |
| url |
https://www.panafrican-med-journal.com/content/article/38/138/pdf/138.pdf
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| work_keys_str_mv | AT danilococo megaesophagus AT silvanaleanza megaesophagus |