This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Airway Obstruction  • Radiology of Head & Neck  • Diagnosis  • Gastrointestinal Diseases  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Otolaryngol Head Neck Surg. 2007;133(2):197.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Achalasia

A grossly dilated cervical esophagus giving rise to a palpable neck mass and upper airway compression with stridor is an extremely unusual presentation of achalasia.^1-2 In this case, chest (Figure 1) and neck (Figure 2) radiographs showed a hugely dilated, air-filled cervical esophagus that was causing anterior displacement of the cartilaginous framework of the larynx and projection over the right superior mediastinum. Although the patient's symptoms resolved spontaneously, her medical condition was complicated by new-onset atrial fibrillation, and it was thought not to be in her best interests to proceed with further invasive investigation. Information was gathered from a previous admission to another hospital, where direct esophagoscopy and laryngoscopy had shown a tortuous, dilated esophagus, and those findings, along with the results of a barium swallow, had led to a diagnosis of achalasia.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Achalasia, which is an esophageal motility disorder, can be . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Radiology Quiz Case 2
K. C. Rose, C. E. B. Giddings, and A. C. Robinson
Arch Otolaryngol Head Neck Surg. 2007;133(2):195.
EXTRACT | FULL TEXT