Document Detail

Achalasia cardia presenting as stridor.
MedLine Citation:
PMID:  18785914     Owner:  NLM     Status:  MEDLINE    
Achalasia cardia is a motility disorder of the oesophagus characterized by aperistalsis of the oesophageal body and incomplete relaxation of the lower oesophageal sphincter. It usually presents with dysphagia, regurgitation and heartburn. It may have various respiratory manifestations. Rarely, it may be complicated by acute airway compromise causing stridor. This case report presents an elderly woman with massive dilatation of the oesophagus secondary to achalasia, who presented with a short history of heartburn and rapid deterioration of her respiratory status due to tracheal compromise and stridor as a result of achalasia. The various hypotheses regarding the pathogenesis of this rare complication are described.
Mihir D Wechalekar; Anne M Southcott
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-09-10
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  13     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-23     Completed Date:  2009-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1088-90     Citation Subset:  IM    
Respiratory Medicine, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
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MeSH Terms
Aged, 80 and over
Balloon Dilatation / methods
Diagnosis, Differential
Esophageal Achalasia / complications*,  diagnosis
Follow-Up Studies
Respiratory Sounds / diagnosis,  etiology*
Tomography, X-Ray Computed
Tracheal Stenosis / complications*,  diagnosis,  therapy

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