C. T. BELLO, M.D.; J. R. LEWIN, M.D.; C. M. NORRIS, M.D.; G. E. FARRAR JR., M.D., F.A.C.P.
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Achalasia (cardiospasm) is not a rare condition. It is usually seen in the middle aged individual and is characterized clinically by symptoms of dysphagia, regurgitation of food and epigastric discomfort. The roentgenologic diagnosis of cardiospasm is dependent upon the findings of varying amounts of dilatation of the esophagus and a smooth conical narrowing of the sub-diaphragmatic portion, which obstructs the flow of ingested contrast medium to varying degrees. It is interesting to note that achalasia is occasionally mis-diagnosed as a mediastinal tumor or abscess.1, 2
We believe this case of achalasia to present certain unusual clinical and roentgenologic manifestations heretofore
BELLO CT, LEWIN JR, NORRIS CM, et al. ACHALASIA (CARDIOSPASM): REPORT OF A CASE WITH EXTREME AND UNUSUAL MANIFESTATIONS*. Ann Intern Med. 1950;32:1184–1190. doi: https://doi.org/10.7326/0003-4819-32-6-1184
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Published: Ann Intern Med. 1950;32(6):1184-1190.
Esophageal Disorders, Gastroenterology/Hepatology.
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