ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
A Rare Manifestation of Achalasia: Huge Esophagus Causing Tracheal Compression and Progressive Dyspnea
1 Department of Radiology, Sifa Hospital, Izmir, Turkey  
2 Department of General Surgery, Scool of Medicine Ege University, Izmir, Turkey  
3 Department of Radiology, Sifa Hospital, Izmir, Turkey  
Eurasian J Med 2014; 46: 57-60
DOI: 10.5152/eajm.2014.11
Key Words: Achalasia, esophageal expansion, computed tomography, dyspnea, progressive


Achalasia is a primary esophageal motility disorder characterized by the absence of primary peristalsis and a failure of the lower esophageal sphincter to relax, resulting in a dilated esophagus. Dysphagia is the classic and most common symptom. Respiratory obstruction due to tracheal compression caused by a massively dilated esophagus is a very rare but fatal complication. Herein, we report a case of a patient with long-standing achalasia who had tracheal compression secondary to a markedly dilated, giant esophagus. These findings are documented with CT scans. His symptoms regressed after a Heller myotomy and fundoplication operation.

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