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A sticky situation
  1. Francesca Neuberger,
  2. Joanna Collins,
  3. Sam Patel
  1. Department of Acute Medicine, Frenchay Hospital, Bristol, UK
  1. Correspondence to Dr Francesca Neuberger, Department of Acute Medicine, Frenchay Hospital, Frenchay Park Road, Bristol BS16 1LE, UK; fneuberger{at}doctors.net.uk

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A woman in her 40s presented to the emergency department with vomiting and sudden onset of dysphagia to liquids and solids. She had a history of achalasia. Initial blood tests and chest X-ray were normal. The working diagnosis was recurrence of achalasia.

An upper gastrointestinal (GI) endoscopy was …

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