Anwuzia-Iwegbu Charles, Fikree Asma, Tufton Nicola
Acute Medicine Unit, Barts & The Royal London, London, UK.
BMJ Case Rep. 2013 Aug 29;2013:bcr2013200047. doi: 10.1136/bcr-2013-200047.
A 41-year-old Bangladeshi man presented with a 2-month history of bilateral feet/hand swelling which intermittently resolved without medication. All blood tests performed by the general practitioner (GP) were unremarkable. Following admission to the accident and emergency department, a chest X-ray revealed a 'vail-like' opacification in the right side. High-resolution CT confirmed dilation of oesophagus with food debris and circumferential thickening of the lower oesophageal sphincter.
一名41岁的孟加拉男子出现双侧足部/手部肿胀2个月，肿胀间歇性消退，无需药物治疗。全科医生（GP）进行的所有血液检查均无异常。在急症室就诊后，胸部X光显示右侧有“面纱样”混浊。高分辨率CT证实食管扩张并伴有食物残渣，食管下括约肌周向增厚。
