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    Rare cause of chest pain: Megaesophagus forming achalasia
    (Kuwait Medical Assoc, 2026) Cumaoglu, Mustafa Oguz; Dolanbay, Turgut; Bolat, Haci
    Achalasia is esophageal motor dysfunction caused by impaired relaxation of the lower esophageal sphincter. A 77-year-old female patient was brought to the emergency department with complaints of nausea, vomiting and chest pain. Thorax computed tomography (CT) imaging was performed because there was no abnormality in troponin and electrocardiogram (ECG) follow-ups; approximately 7 cm diameter megaesophagus was detected. Endoscopy was performed for advanced diagnosis and treatment. Diagnosis of achalasia was confirmed by endoscopy. The distal end of the esophagus was widened by dilatation. The patient was discharged after 24 hours of service follow-up. Although it is a rare condition in elderly patients presenting to the emergency department, it should be noted that achalasia will constitute a non-cardiac chest pain clinic.