Esophageal dysmotility - systemic sclerosis
The patient has been treated for systemic sclerosis - rheumatoid arthritis overlap syndrome for more than 30 years. Investigated for swallowing difficulty.
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The distal part of the esophagus is distended and hypokinetic, the barium contrast agent shows delayed passage into the stomach.
Esophageal dysmotility, dilatation and consequent functional impairment is a common complication of long-standing scleroderma.