Pueumatic balloon dilatation of the lower esophageal sphincter has been known as a primary therapy for achalasia. However, perforation of esophagus is the most common complication of pneumatic dilatation in patients with achalasia. The treatment of th...
Pueumatic balloon dilatation of the lower esophageal sphincter has been known as a primary therapy for achalasia. However, perforation of esophagus is the most common complication of pneumatic dilatation in patients with achalasia. The treatment of these patients, especially with communication of the perforated area with either the pleural or peritoneal spaces, has been focused to surgical management. We report the successful non-surgical treatment of esophageal perforation with radiographic evidence of communication of perforated area with the pleural spaces after pneumatic dilatation in a patient with primary achalasia.