Pseudoachalasia: A peculiar case report and review of the literature

Figure 1 Esophageal manometric findings of elevated intra-esophageal resting pressure > 4 mmHg, localized at 36 cm from the nose, with superimposed cyclic pressure spikes with a frequency of 60-100/min with absence of relaxation in response to swallow (see P1 in the second swallow), typical of esophageal vascular compression.

Figure 2 Computed tomography view of a dilated ascending thoracic aorta with no presence of the inferior vena cava with azygos continuation, cause of the vascular compression of esophagus.