Esophageal pneumatosis and hematomatosis concomitant with achalasia

Although pneumatosis affecting the large intestine, small intestine, and stomach has been documented in the gastrointestinal tract, cases of pneumatosis in the esophagus are infrequent. The patient in this case was an octogenarian man who presented to Tokai University Hospital with the chief complaint of persistent dysphagia. Achalasia was diagnosed using upper gastrointestinal endoscopy and upper gastrointestinal imaging ([Fig. 1]). Subsequently, hospitalization was deemed necessary due to compromised oral intake.