Meshkinpour H, Mason R G
Department of Medicine, University of California, Irvine, Orange 92668.
Dysphagia. 1992;7(3):166-9. doi: 10.1007/BF02493451.
A 17-year-old woman was evaluated for dysphagia. Radiologic study revealed a rigid segment 10 cm long in the midesophagus, which was found to be aperistaltic on manometric evaluation. The rest of the esophagus and the lower esophageal sphincter were manometrically normal. Four years later the patient was seen for evaluation of severe dysphagia and symptoms of esophageal overflow. Characteristic radiologic and manometric findings of classic achalasia were noted. The case is discussed as an atypical form of achalasia evolving from a segmental esophageal aperistalsis.
一名17岁女性因吞咽困难接受评估。放射学检查显示食管中段有一段10厘米长的僵硬节段，测压评估发现该节段无蠕动。食管其余部分及食管下括约肌测压正常。四年后，该患者因严重吞咽困难和食管反流症状前来就诊。发现了典型贲门失弛缓症的特征性放射学和测压结果。该病例被作为一种从节段性食管无蠕动演变而来的非典型贲门失弛缓症进行讨论。
