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食管贲门失弛缓症及食管憩室并非少见,但贲门失弛缓症继发巨大憩室者尚不多见。现将我们遇到的1例报告如下。病历摘要女性,41岁。2年前曾呕吐及返流食物,经食管吞钡透视确诊贲门失弛缓症。袋式扩张器治疗后,症状缓解不明显。近日患者自觉症状逐渐加重,伴有胸、背部不适,返吐酸臭味食物。胸部透视:脊柱右侧见从纵隔突出一卵圆形囊状阴影,其中可见液平面约8×10cm,部分与右心影重叠。采取立卧位吞钡检查,食管扩张显著,大量钡剂进入囊内,形成钡气液面,食管边缘钡涂抹不均。继续吞钡,
Esophageal achalasia and esophageal diverticulum is not uncommon, but achalasia secondary to a huge diverticulum is still rare. Now we have encountered a report as follows. Summary of medical records Female, 41 years old. 2 years ago had vomiting and reflux food, barium swallow esophageal diagnosis of achalasia. Bag dilator treatment, the symptoms are not obvious relief. Recently, patients gradually increased symptoms, accompanied by chest, back discomfort, back to sour smelly food. Chest perspective: see the right spine from the mediastinum prominent oval cystic shadow, which shows the liquid level of about 8 × 10cm, part of the overlap with the right heart shadow. Adopted legislation supine barium swallow check, esophageal expansion significantly, a large number of barium into the capsule, the formation of barium gas level, uneven esophageal barium smear. Continue to swallow barium,