#eosinophilic #esophagitis( not every dysphagia is achalasia despite typical manometry and barium swallow studies)

A 29-year-old woman presented with recurrent epigastric pain and dysphagia. Previous upper endoscopy revealed h pylori gastritis. Barium swallow was consistent with achalasia. High-resolution manometry was compatible with achalasia type II. The current endoscopy showed competent cardia with pangastric erythematous mottling. Biopsies were taken from the lower esophagus revealing eosinophilic esophagitis.

barium swallow

barium swallow

manometry report

pathology report