Haemoptysis: An unusual initial presentation of achalasia cardia

Achalasia cardia in an infant.

Esophageal achalasia is a neuromuscular disorder of unknown etiology characterized by abnormal motility and failure of relaxation of lower esophageal sphincter, with its usual presentation in fourth and fifth decades of life. It is an unusual lesion in childhood and extremely rare under the age of one year. We report a 7-month-old child with esophageal achalasia treated with modified Heller's e...

Pathogenesis of achalasia cardia.

Achalasia cardia is one of the common causes of motor dysphagia. Though the disease was first described more than 300 years ago, exact pathogenesis of this condition still remains enigmatic. Pathophysiologically, achalasia cardia is caused by loss of inhibitory ganglion in the myenteric plexus of the esophagus. In the initial stage, degeneration of inhibitory nerves in the esophagus results in ...

Achalasia of the Cardia.

An unusual case of haemoptysis.

To cite: Mathew JJ, Hollings NP, Myers JD. Thorax 2013;68:796–797. An 18-year-old female subject with a history of decortication for right sided, postpneumonic pleural thickening presented with haemoptysis. A CT pulmonary angiogram showed marked hypoplasia of the right main, lobar and segmental pulmonary arteries, along with reduced volume of the right lung. Prominent bronchial artery supply to...

[Achalasia of the cardia].

Radionuclide oesophageal transit studies and manometry have been carried out in 15 patients with achalasia of the cardia, before treatment, after a course of nifedipine and after pneumatic bag dilatation. Transit studies were also done in 10 patients after cardiomyotomy and in 10 normal subjects. Images were recorded with the subjects seated in front of a gamma camera while swallowing a 10 ml b...