Atelectasis: An Uncommon Sign of Achalasia inChildhood
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Tarih
2021
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
An 11-year-old boy presented to our pediatric pulmonology clinic with a 3-month history of atelectasis evident onhis chest radiography. Breath sounds revealed fine crackles in the right lower zone and rhonchi in the upper zones.His initial pulmonary function test was compatible with restrictive pulmonary disease. Chest tomography revealedthat the trachea, right intermediate, and middle lobe bronchi were narrowed by megaesophagus. Esophagogramdetermined dilatation of the esophagus and “bird-beak” sign in the esophagogastric junction but it was not suffi cient to diagnose. Esophageal manometry which is the gold standard test for achalasia was performed and type 2achalasia was diagnosed. His symptoms improved following Heller myotomy conducted together with Dor fun doplication. Although respiratory problems are more common in infants and younger children, atypical respiratorypresentations may also occur during adolescence. Achalasia should be one of the rare differential diagnoses ofpediatric restrictive pulmonary disease.
Açıklama
Anahtar Kelimeler
Kaynak
İzmir Tepecik Eğitim Hastanesi Dergisi
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Cilt
31
Sayı
1