Concomitant manifestation of achalasia and sphincter of Oddi dysfunction

We report the case of a 44-year-old woman who suffered from biliary-type pa in after cholecystectomy, dysphagia, and weight loss. Examinations revealed sphincter of Oddi dysfunction (SOD) and achalasia. Complete relief of symp toms was achieved by endoscopic sphincterotomy and pneumatic dilation of th e distal esophagus. This case report demonstrates for the first time the concomitant manifestat ion of two motility disorders of the upper gastrointestinal tract, i.e. ach alasia and SOD. At present, any causal relationship seems speculative; howe ver, both diseases were successfully treated using endoscopic procedures.