Pneumatic

Achalasia and Clubbing of the Fingers Hippocrates first described digital clubbing in patients with empyema. Six months after dilatation of the esophagus patient initiates with clubbing of the fingers, cardiopulmonary diseases...

Digital clubbing has been associated with various underlying pulmonary, cardiovascular, neoplastic, infectious, hepatobiliary, mediastinal, endocrine, and gastrointestinal diseases. Finger clubbing also may occur, without evident...

Computed Tomography CT scanning with oral contrast enhancement may demonstrate the gross structural esophageal abnormalities associated with achalasia, especially dilatation, which is seen in advanced stages. However, CT findings...

CT findings are nonspecific and insensitive in the early stages of achalasia. CT findings should always be confirmed by means of barium swallow study with fluoroscopy, upper gastrointestinal endoscopy, and esophageal manometry.

Video Endoscopic Sequence

CT scan of the chest demonstrates a markedly dilated esophagus, including its upper region to the gastroesophageal junction. There is a air fluid level, without focal or difuse thickening of the esophageal walls.

Video Endoscopic Sequence

Video Endoscopic Sequence

Video Endoscopic Sequence