Endlicher, Esther and Fuerst, Alois and Strotzer, Michael and Messmann, Helmut and Kerner, Thomas and Schoelmerich, Juergen and Lock, Guntram (1999) Cardiomegaly and pneumonia, a misdiagnosis in long-standing achalasia. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 124 (13). pp. 386-390. ISSN 0012-0472, 1439-4413
Full text not available from this repository.Abstract
History: A 65-year-old woman was admitted to another hospital with suspected status asthmaticus. While there was progressive respiratory failure, the chest X-ray showed bilateral congestion and infiltration with widened mediastinum and cardiomegaly. The patient was transferred to the authors' hospital after two days on ventilatory support because of suspected left-ventricular failure and pulmonary congestion with pneumonia. 30 years previously she had undergone a myotomy for achalasia. Investigations: Imaging of the oesophagus with water-soluble contrast medium, computed tomography of the thorax and gastroscopy revealed a siphon-like megaoesophagus (which had been misinterpreted radiologically as cardiomegaly) with a slightly open lower oesophageal sphincter. The pulmonary symptoms were thought to be due to aspiration pneumonia. Treatment and course: As there were no other reasonable treatment options a transmediastinal oesophageal resection with gastric pull-through and collar anastomosis was performed. Conclusion: In long-standing achalasia a megaoesophagus can develop despite previous myotomy. It should be included in the differential diagnosis of radiologically demonstrated mediastinal enlargement.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ESOPHAGOMYOTOMY; ESOPHAGUS; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Nov 2022 11:35 |
| Last Modified: | 08 Nov 2022 11:35 |
| URI: | https://pred.uni-regensburg.de/id/eprint/48350 |
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