Achalasia with massive oesophageal dilation causing tracheomalacia and asthma symptoms

Ana Gomez-Larrauri; Simon Galloway; Rob Niven

doi:10.1016/j.rmcr.2017.12.008

Achalasia with massive oesophageal dilation causing tracheomalacia and asthma symptoms

Ana Gomez-Larrauri^*, Simon Galloway, Rob Niven

^*Corresponding author for this work

Division of Immunology, Immunity to Infection and Respiratory Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Achalasia is an uncommon oesophageal motor disorder characterized by failure of relaxation of the lower oesophageal sphincter and muscle hypertrophy, resulting in a loss of peristalsis and a dilated oesophagus. Gastrointestinal symptoms are invariably present in all cases of achalasia observed in adults. We report a case of a 34 year-old female patient with long standing history of asthma-like symptoms, labelled as uncontrolled and steroid resistant asthma with no gastrointestinal manifestations. Thoracic CT scan revealed a massive oesophagus due to achalasia, which caused severe tracheomalacia as a result of tracheal compression. Her symptoms regressed completely after a laparoscopic Heller myotomy surgery intervention.

Original language	English
Pages (from-to)	80-82
Number of pages	3
Journal	Respiratory Medicine Case Reports
Volume	23
Early online date	18 Dec 2017
DOIs	https://doi.org/10.1016/j.rmcr.2017.12.008
Publication status	Published - 2018

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title = "Achalasia with massive oesophageal dilation causing tracheomalacia and asthma symptoms",

abstract = "Achalasia is an uncommon oesophageal motor disorder characterized by failure of relaxation of the lower oesophageal sphincter and muscle hypertrophy, resulting in a loss of peristalsis and a dilated oesophagus. Gastrointestinal symptoms are invariably present in all cases of achalasia observed in adults. We report a case of a 34 year-old female patient with long standing history of asthma-like symptoms, labelled as uncontrolled and steroid resistant asthma with no gastrointestinal manifestations. Thoracic CT scan revealed a massive oesophagus due to achalasia, which caused severe tracheomalacia as a result of tracheal compression. Her symptoms regressed completely after a laparoscopic Heller myotomy surgery intervention.",

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AB - Achalasia is an uncommon oesophageal motor disorder characterized by failure of relaxation of the lower oesophageal sphincter and muscle hypertrophy, resulting in a loss of peristalsis and a dilated oesophagus. Gastrointestinal symptoms are invariably present in all cases of achalasia observed in adults. We report a case of a 34 year-old female patient with long standing history of asthma-like symptoms, labelled as uncontrolled and steroid resistant asthma with no gastrointestinal manifestations. Thoracic CT scan revealed a massive oesophagus due to achalasia, which caused severe tracheomalacia as a result of tracheal compression. Her symptoms regressed completely after a laparoscopic Heller myotomy surgery intervention.

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JO - Respiratory Medicine Case Reports

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ER -

Achalasia with massive oesophageal dilation causing tracheomalacia and asthma symptoms

Abstract

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