case_images: PMC8486939_01
case_images: barium swallow study showing an abrupt tapering of the distal oesophagus at the gastro-oesophageal junction, with distal oesophageal dilatation; there was stagnation of the barium agent, indicating severe oesophageal dysmotility
case_images: PAMJ-39-225-g001.jpg
case_images: PMC8486939_01_PAMJ-39-225-g001.jpg
case_images: F1
case_images: Barium swallow demonstrated proximal oesophageal dilatation with delayed emptying (Figure 1).
case_images: abdomino-pelvic CT scan in axial view, showing distension of the stomach and intestines; the distended large bowel anterior to the liver displaced it medially, suggestive of a long-standing process
case_images: PAMJ-39-225-g002.jpg
case_images: PMC8486939_01_PAMJ-39-225-g002.jpg
case_images: F2
case_images: Abdominopelvic CT scans revealed luminal dilatation of the oesophagus, stomach, small and large bowel, as well as faecal loading (Figure 2).
case_images: gastroscopy demonstrated a dilated proximal oesophagus with a distal narrowing and oesophagitis
case_images: PAMJ-39-225-g003.jpg
case_images: PMC8486939_01_PAMJ-39-225-g003.jpg
case_images: F3
case_images: An upper endoscopy showed proximal oesophageal dilatation with distal oesophagitis and narrowing (Figure 3).
case_images: (A, B) capsule endoscopy images revealed distal oesophagitis with ulceration (green arrows)
case_images: PAMJ-39-225-g004.jpg
case_images: PMC8486939_01_PAMJ-39-225-g004.jpg
case_images: F4
case_images: Distal oesophagitis with ulceration was seen, and a significant amount of food was in the stomach despite overnight fasting, suggestive of gastroparesis (Figure 4(A, B)).