胃肠道和消化系统

抽象的

Mediastinal Widening: An Unusual Presentation of Achalasia Cardia

Javier Martínez-González, Martínez-González J, Aicart-Ramos M, Tellez-Villajos L, Rodríguez de Santiago E and Albillos A

Achalasia typically presents with dysphagia and regurgitation of undigested food. Diagnosis is usually performed with esophageal manometry before macroscopic anatomical changes appear. However some patients do not consult with early symptoms. We present a 55-year old women whose diagnosis was suspected with chest-x-ray showing a striking bread crumb pattern enlargement of right upper mediastinum. Diagnosis was then confirmed with upper endoscopy and manometry. After the failiure of some previous treatments, surgery finally controlled the symptoms.