Lung Nodule and Food Bolus Impaction: Can They Be Related?
| Autor: | Lúcia Carvalho, Rui Almeida, Mário Nora, Marta Guimarães, Ana Marta Pereira |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pulmonology achalasia cardia Achalasia heller myotomy heller's esophagus-cardiomyotomy 030204 cardiovascular system & hematology Aspiration pneumonia Chest pain Gastroenterology esophageal myotomy 03 medical and health sciences 0302 clinical medicine Internal medicine otorhinolaryngologic diseases Medicine esophageal motor disorder Esophagus Heller myotomy business.industry General Engineering medicine.disease Dysphagia digestive system diseases recurrent aspiration pneumonia achalasia medicine.anatomical_structure Recurrent aspiration pneumonia General Surgery Regurgitation (digestion) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.12351 |
| Popis: | Achalasia is a rare primary disorder of esophageal motility characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. This results in patient complaints of dysphagia to solids and liquids, regurgitation, chest pain, and weight loss. However, achalasia may also present with respiratory symptoms, such as aspiration pneumonia, due to remarkable regurgitation. In untreated patients and a long period of evolution, respiratory symptoms may even be the initial manifestation of achalasia. An endoscopic finding of retained food and saliva with a puckered gastroesophageal junction or barium swallow showing dilated esophagus with birds beaking in a symptomatic patient should prompt appropriate diagnostic and therapeutic strategies. We describe an atypical presentation of a rare disease in a young man with a history of symptoms caused by the late manifestation of achalasia. |
| Databáze: | OpenAIRE |
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