Respiratory failure due to achalasia cardia

Journal Article (Journal Article)

A 76-year-old male was seen in our hospital for hypoxic respiratory failure and bronchorrhea worsening over a few weeks. He failed treatment with antibiotics and diuretics. A CT scan of the chest was performed which revealed a dilated esophagus with an air-fluid level with evidence of aspiration. A contrasted upper GI series revealed typical "birds beak" appearance of achalasia. He was treated with botulinum injections into lower esophageal sphincter and his hypoxemia resolved. Achalasia is a lesser known cause of aspiration which can lead to respiratory failure. We have discussed the wide spectrum of aspiration syndromes seen in the setting of various swallowing disorders. © 2008.

Full Text

Duke Authors

Cited Authors

  • Ali, HA; Murali, G; Mukhtar, B

Published Date

  • March 6, 2009

Published In

Volume / Issue

  • 2 / 1

Start / End Page

  • 40 - 43

International Standard Serial Number (ISSN)

  • 1755-0017

Digital Object Identifier (DOI)

  • 10.1016/j.rmedc.2008.03.010

Citation Source

  • Scopus