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SA Journal of Radiology
On-line version ISSN 2078-6778
Print version ISSN 1027-202X
Abstract
JAYABALAN, Jayaranjeetham et al. Vigorous achalasia: Zebra amongst horses. S. Afr. J. radiol. (Online) [online]. 2020, vol.24, n.1, pp.1-4. ISSN 2078-6778. http://dx.doi.org/10.4102/sajr.v24i1.1953.
Vigorous achalasia is an oesophageal disorder with clinical and radiological characteristics of classic achalasia and diffuse oesophageal spasm. It is a rarely reported variant. A 60-year-old gentleman presented with complaints of difficulty in swallowing, regurgitation and chest pain for the past 10 years. His symptoms persisted despite the use of proton pump inhibitors. On endoscopy and barium swallow, the diagnosis of vigorous achalasia was confirmed. It is a rare variant of classic achalasia usually misdiagnosed as diffuse oesophageal spasm.
Keywords : vigorous achalasia; diffuse oesophageal spasm; classic achalasia; barium swallow; proton pump inhibitors.