Dyspnoea caused by retained food in the oesophagus

Nicola Mumoli
Med J Aust 2010; 192 (9): 500. || doi: 10.5694/j.1326-5377.2010.tb03606.x
Published online: 3 May 2010

A 79-year-old woman was admitted with shortness of breath that had worsened over the previous week. Two months earlier, she had developed dysphagia with nocturnal regurgitation, cough and occasional stridor. Physical examination showed no abnormalities apart from an oxygen saturation level of 85% on room air. The patient had a history of achalasia, which had been treated 5 years earlier with pneumatic dilation.

A chest computed tomography scan showed a severely dilated and tortuous oesophagus with retained food (Figure, A) causing compression of the trachea (Figure, B). The woman was successfully treated with laparoscopic Heller myotomy and discharged.

  • Nicola Mumoli

  • Department of Internal Medicine, Livorno Hospital, Livorno, Italy.



remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.