tailieunhanh - Báo cáo y học: "Appearance of a double bubble in achalasia cardia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Appearance of a double bubble in achalasia cardia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Appearance of a double bubble in achalasia cardia a case report Shaheen E Lakhan S Jeevan Kumar and P Ratnakar Kini Address Global Neuroscience Initiative Foundation Los Angeles CA USA Email Shaheen E Lakhan - slakhan@ S Jeevan Kumar - sjkumar@ P Ratnakar Kini - prkini@ Corresponding author Published 13 December 2008 Received 31 January 2008 Journal ofMedical Case Reports 2008 2 383 doi l752-l947-2-383 Accepted 13 December 2008 This article is available from http content 2 l 383 2008 Lakhan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Achalasia cardia is characterized by failure of the lower esophageal sphincter to relax in response to swallowing and by an absence of peristalsis in the esophageal body. Absence of a gastric air bubble is a well known radiological finding. Pneumatic balloon dilatation results in reappearance of the gastric bubble. Case presentation We report the case of a 43-year-old Indian man with achalasia cardia whose chest X-ray at the time of presentation showed an air bubble in the gastric region causing a diagnostic quandary. Successful dilatation of the lower esophageal sphincter resulted in the appearance of another air bubble in the gastric region. Proper analysis showed that the first bubble was actually a colonic air bubble of the splenic flexure and the appearance of the second bubble was the anticipated gastric air bubble. Conclusion In patients presenting with achalasia cardia a colonic air bubble may be seen in the gastric region causing diagnostic difficulty. In these patients a gastric air bubble may appear after pneumatic .