PMC9897699_01
Computed tomography angiography of the chest and abdomen showing markedly dilated esophagus (Eso) against the left atrium (LA) in coronal (A) and sagittal (B) view.. Eso: esophagus, LA: left atrium
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FIG1
Computed tomography angiography of the chest and abdomen showing markedly dilated esophagus (Eso) against the left atrium (LA) in axial view.. Eso: esophagus, LA: left atrium
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FIG2
Barium esophagram showing dilated esophagus with narrowing at the gastroesophageal junction, demonstrating the classic "bird's beak appearance."
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FIG3
Esophagogastroduodenoscopy showing the esophageal lumen filled with undigested food and debris before (A) and after (B) removal.
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FIG4
TTE. Esophagogastroduodenoscopy (EGD) revealed a severely dilated esophagus with large amounts of undigested food and hypertonic LES (Figure 4A). The undigested food was removed, and botulinum toxin was injected at the LES, followed by balloon dilation. No mass, strictures, or signs of external compression were seen (Figure 4B).