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Unusual radiological sign in a gentleman with recurrent dysphagia
  1. May Y W Wong1,
  2. Melissa Richards2,
  3. Bronte Holt3,
  4. Geoffrey S Hebbard2
  1. 1 Gastroenterology, Royal North Shore Hospital, St Leonards, NSW, Australia
  2. 2 Division of Gastroenterology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
  3. 3 Department of Gastroenterology and Hepatology, St. Vincent’s Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr May Y W Wong, Gastroenterology, Royal North Shore Hospital, Sydney, NSW 2065, Australia; wong.may.yw{at}

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A 42-year-old man with long-standing achalasia presented with recurrent dysphagia over 2 years. This is in the context of a laparoscopic Heller’s myotomy and partial fundoplication 12 years prior for dysphagia symptoms which provided relief for some time. Dysphagia occurred with all oral intake and was most pronounced with bread and meat. His Eckardt score was 4. He scored 3 for dysphagia, 1 for regurgitation, 0 for retrosternal pain and 0 for loss of weight. Despite this, he had minimal functional impairment and worked full time. Gastroscopy showed a moderately dilated oesophagus …

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  • Contributors MYWW: wrote manuscript and performed tests. MR: performed tests and reviewed manuscript. BH: performed procedure and reviewed manuscript. GSH: interpreted tests and reviewed manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.