alexa Mediastinal Widening: An Unusual Presentation of Achala
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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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 A

Department 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: [email protected]

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.



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.


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