title: Lower oesophageal diaphragm and achalasia in an adult. An unusual association.
abstract: An unusual case of congenital lower oesophageal diaphragm (web) associated with achalasia is described. An 18-year-old nulliparous girl presented with severe cachexia and aphagia following progressive dysphagia. A barium swallow demonstrated the achalasia, and the oesophageal diaphragm with a central pinhole opening was seen at endoscopy. Parenteral hyperalimentation was required for ten weeks prior to surgery. Circumferential excision of the oesophageal diaphragm in conjunction with Y-V advancement oesophagoplasty gave a good result.
mesh_terms: D000293:Adolescent; D001464:Barium; D004931:Esophageal Achalasia / Q000150:complications*; D004933:Esophageal Atresia / Q000150:complications* / Q000473:pathology / Q000601:surgery; D004944:Esophagoplasty; D004947:Esophagus / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control
chemical_list: D001464:Barium