A 55 year-old woman with 5kg weight loss for 3 month as dysphagia.
Ultrasound detected cervical esophagial dilatation and positive bird beak sign of the cardial esophagus. It existed no tumor outside of the cardia of the stomach but having only a liver hemangioma in the left lobe.
Barium swallow on X-ray noted a rat's tail sign and esophagial dilatation that proved achalasia.
MSCT confirmed the achalasia.
The patient will going through a cardioesophagial ballooning and medical management.
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