Scholarlink

Background <p>Achalasia is a&#xa0;primary esophageal motility disorder, predominantly presenting with dysphagia. With disease progression, the esophagus becomes tortuous and dilated, resulting in a&#xa0;condition known as “megaesophagus.” Tracheal compression with acute respiratory failure due to esophageal dilation is a&#xa0;rare but potentially fatal complication of achalasia.</p> Case report <p>A&#xa0;52-year-old male patient presented with acute respiratory failure and a&#xa0;history of prior dysphagia, regurgitation, and pneumonia. Further diagnostic tests revealed an extremely dilated esophagus compressing the trachea and lung parenchyma.</p> Results <p>Laparoscopic Heller myotomy and fundoplication were performed, which alleviated the patient’s symptoms.</p> Conclusion <p>Early recognition of this condition is crucial for patient survival, as is initial decompression of the dilated esophagus, relieving the patient of acute, life-threating symptoms.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

End-stage achalasia presenting as acute respiratory failure: a case report and review of the literature

  • 期刊论文

  • 发表日期：

    2025年1月21日

查看全文
  • Anja Žugić,
  • Ognjan M. Skrobić,
  • Nenad Ivanović,
  • Slobodan Rašić,
  • Sanja Jovanović,
  • Jelena Janković,
  • Aleksandra Đurić-Stefanović,
  • Aleksandar P. Simić

摘要

Background

Achalasia is a primary esophageal motility disorder, predominantly presenting with dysphagia. With disease progression, the esophagus becomes tortuous and dilated, resulting in a condition known as “megaesophagus.” Tracheal compression with acute respiratory failure due to esophageal dilation is a rare but potentially fatal complication of achalasia.

Case report

A 52-year-old male patient presented with acute respiratory failure and a history of prior dysphagia, regurgitation, and pneumonia. Further diagnostic tests revealed an extremely dilated esophagus compressing the trachea and lung parenchyma.

Results

Laparoscopic Heller myotomy and fundoplication were performed, which alleviated the patient’s symptoms.

Conclusion

Early recognition of this condition is crucial for patient survival, as is initial decompression of the dilated esophagus, relieving the patient of acute, life-threating symptoms.