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An Unusual Presentation of Achalasia Cardia:Mediastinal Widening


Affiliations
1 Junior Resident, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
2 Prof. and Head, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
3 Professor, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
4 Associate Professor, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
     

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Cough as symptom to diagnose achalasia cardia. Achalasia typically presents with dysphagia and regurgitation of undigested food. Diagnosis is usually performed with esophageal manometry, barium swallow before macroscopic anatomical changes appear. But sometime cough as a symptom can diagnose. We present a 45-year old women whose diagnosis was suspected with chest-x-ray showing enlargement of right mediastinum. Diagnosis was then confirmed with upper endoscopy and barium swallow.

Keywords

Cough, Dyspnoe Achalasia; Dysphagia; Barium swallow; Heller myotomy; Pneumatic dilatation.
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  • An Unusual Presentation of Achalasia Cardia:Mediastinal Widening

Abstract Views: 91  |  PDF Views: 0

Authors

Ajit Yadav
Junior Resident, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
Jai Kishan
Prof. and Head, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
Sameer Singhal
Professor, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
Achchhar Singh
Associate Professor, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India
Aditi Gupta
Associate Professor, Department of Respiratory Medicine, MMIMSR, M.M. Deemed to be University, Mullana, Ambala, Haryana, India

Abstract


Cough as symptom to diagnose achalasia cardia. Achalasia typically presents with dysphagia and regurgitation of undigested food. Diagnosis is usually performed with esophageal manometry, barium swallow before macroscopic anatomical changes appear. But sometime cough as a symptom can diagnose. We present a 45-year old women whose diagnosis was suspected with chest-x-ray showing enlargement of right mediastinum. Diagnosis was then confirmed with upper endoscopy and barium swallow.

Keywords


Cough, Dyspnoe Achalasia; Dysphagia; Barium swallow; Heller myotomy; Pneumatic dilatation.



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194934