512 Megaoesophagus Presenting as Stridor: A Case Report and Review of Literature

Abstract Introduction Megaoesophagus, dilatation of the oesophagus, is a recognised late complication achalasia cardia, Chagas disease and, less commonly, dysmotility disorders. Megaoesophagus often presents with dysphagia, regurgitation food and chest pain. Here, we describe case patient presenting stridor secondary to chronic in absence dysphagia. Case Report An 85-year-old female presented Emergency Department stridor, history breathlessness intermittent coughing episodes. Flexible laryngoscopy revealed larynx be rotated right, corresponding palpable swelling left neck. A X-ray showed markedly dilated oesophagus. Computed tomography severe oesophageal causing compression tracheobronchial tree larynx. The received nebulised adrenaline intravenous dexamethasone, resulting resolution her stridor. barium swallow demonstrated marked cricopharyngeal spasm significant luminal narrowing but no holdup barium. remainder oesophagus was chronically gastro-oesophageal junction appeared atonic. findings were atypical achalasia, there obstructing lesions identified considered most likely, which subsequently confirmed by gastroenterology opinion. Discussion rare, frequently dysphagia commonly caused achalasia. literature search only one previous megaoesophagus idiopathic disorder; however, this an impacted bolus, whereas our did not demonstrate any lesions.