PMID: 9431907Feb 12, 1998Paper

Achalasia presenting as acute stridor

European Journal of Gastroenterology & Hepatology
S P Dunlop, S P Travis

Abstract

We report a case of achalasia presenting as acute stridor and respiratory distress in an 87-year-old woman. A mega-oesophagus was decompressed by aspiration through a naso-oesophageal tube, stiffened with paediatric endoscopic biopsy forceps before placement. Subsequent barium swallow showed mega-oesophagus secondary to achalasia causing tracheal compression at the level of the thoracic inlet. There have been 28 previous case reports of mega-oesophagus due to achalasia causing tracheal obstruction and the literature is reviewed. Recognition and urgent treatment of this very rare complication of achalasia by naso-oesophageal decompression may avoid fatality.

Citations

Dec 21, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Saurabh KhandelwalBrant K Oelschlager
May 5, 2011·JRSM Short Reports·Sandeep BasavarajaiahNicholas Boyle
Oct 18, 2011·Internal Medicine·Shin'ichi MiyamotoTsutomu Chiba
Mar 12, 2015·BMJ Case Reports·K I Zalewska, G F A Benfield
Jan 18, 2013·Case Reports in Surgery·Fatih AltintoprakOsman Nuri Dilek
Jun 28, 2013·Annals of the American Thoracic Society·Rosemary AdamsonAnna Nolan
Mar 25, 2011·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·N Martinón-TorresR Cabanas Gancedo
Jul 26, 2015·International Journal of Surgery Case Reports·J Moritz KathsHauke Lang
Oct 16, 2008·AJNR. American Journal of Neuroradiology·A H DoshiP M Som
Aug 6, 2000·European Journal of Anaesthesiology·H Hay

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