[Dysphagia and Sonography: what Association?].
Achalasia is a primary esophageal motility disorder characterized by dysphagia, chest pain, and drug-resistant reflux symptoms. A detailed anamnesis and esophageal manometry are essential tools for a correct diagnosis. We present a case of a 31 years old woman with typical achalasia symptoms misdiagnosed for many years due to a complex background picture. Despite the evolution in medical sciences, this clinical case underlines the cornerstones of medical profession: patient-physician relation and bedside clinical approach. At the same time, it confirms the increasing role of ultrasonography as a simple but essential tool for a complete general-internal medicine evaluation.
1 Hausarztpraxis Dr. med. Hans-Ruedi Schwarzenbach, Melide.
Thierry
T
Donati
1 Hausarztpraxis Dr. med. Hans-Ruedi Schwarzenbach, Melide.
Matteo
M
Badini
1 Hausarztpraxis Dr. med. Hans-Ruedi Schwarzenbach, Melide.
Hans-Rudolf
HR
Schwarzenbach
D000328:Adult; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000523:psychology; D003951:Diagnostic Errors; D018450:Disease Progression; D004931:Esophageal Achalasia / Q000151:congenital / Q000000981:diagnostic imaging* / Q000523:psychology; D005260:Female; D006801:Humans; D008365:Manometry; D010817:Physician-Patient Relations; D014463:Ultrasonography
Achalasie; Fehldiagnose; Ultraschall-Diagnostik; achalasia; achalasie; allgemeine Innere Medizin; erreur de diagnostic; general internal medicine; misdiagnosis; médecine interne générale; ultrasound diagnostic; échographie