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Hindi Case Report
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 ADepartment of Gastroenterology and Hepatology, University of Alcalá, Madrid, Spain
- *Corresponding Author:
- Javier Martínez-González
Department of Gastroenterology and University of Alcalá
} Madrid, Spain
Tel: 34 609881580
E-mail: martinez.gonzalez.javier@gmail.com
Received date: June 24, 2014; Accepted date: October 09, 2014; Published date: October 15, 2014
Citation: Martínez-González J, Martínez-González J, Aicart-Ramos M, Tellez-Villajos L, Rodríguez de Santiago E, et al. (2014) Mediastinal Widening: An Unusual Presentation of Achalasia Cardia. J Gastroint Dig Syst 4:227. doi:doi: 10.4172/2161-069X.1000227
Copyright: © 2014 Martínez-González J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
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.
