Altintoprak Fatih, Degirmenci Bumin, Dikicier Enis, Cakmak Guner, Kivilcim Taner, Yalkin Omer, Akbulut Gokhan, Dilek Osman Nuri
Department of General Surgery, Faculty of Medicine, Sakarya University, 54100 Sakarya, Turkey.
Case Rep Surg. 2012;2012:794858. doi: 10.1155/2012/794858. Epub 2012 Dec 24.
Achalasia is a rare disorder characterised by obstruction of the distal oesophagus and subsequent dilation of the proximal oesophagus. Patients generally complain of gastrointestinal symptoms; however, pulmonary symptoms and complications may also occur. A 35-year-old woman was brought to our emergency service complaining of sudden-onset dyspnea that started 15 minutes earlier during dinner. She suffered a cardiopulmonary arrest due to aspiration 5 minutes after being admitted to the emergency room and was intubated. Thoracic computed tomography examination showed that her oesophagus was filled with undigested food. Heller cardiomyotomy and Dor fundoplication was performed via laparotomy with the diagnosis of primary achalasia, and she was discharged as uneventful on the 5th postoperative day.
贲门失弛缓症是一种罕见的疾病，其特征为食管远端梗阻及随后近端食管扩张。患者通常主诉胃肠道症状；然而，肺部症状及并发症也可能发生。一名35岁女性因晚餐期间15分钟前突发的呼吸困难被送至我院急诊。入院急诊室5分钟后，她因误吸导致心肺骤停并接受了气管插管。胸部计算机断层扫描检查显示其食管内充满未消化的食物。经剖腹手术进行了贲门肌层切开术和Dor胃底折叠术，诊断为原发性贲门失弛缓症，术后第5天她顺利出院。
