Double Cervical Bird Beak Sign Resulting in Dysphagia


The esophageal bird’s beak sign

Bird's beak sign. Bird's beak sign. Bird's beak sign Abdom Imaging. 2015 Oct;40(8):3338-9. doi: 10.1007/s00261-015-0490-. Authors Amit Chakraborty 1 , Andres Ayoob 2 , David DiSantis 2 Affiliations 1 University of Kentucky College of Medicine, 138 Leader Ave.


Aortic Dissection Radiology Reference Article RadioGyan

Bird's beak sign. The "bird's beak" sign is a classic finding on esophagrams; it describes a dilated proximal esophagus with a smooth-tapered, distal esophagus at the level of the esophageal hiatus in the setting of achalasia. 1 The smooth tapering of the distal esophagus resembles the beak of a bird (Figure 1). On imaging and manometry.


Achalasia with bird beak sign Radiology Case

bird beak sign: A descriptor for GI tract findings by barium studies which have been fancifully likened to a bird's beak Colon Ace of spades appearance, bird of prey sign A sharply defined voluptuously-curved, cut-off of the enema column in a volvulus of the sigmoid colon; if the barium passes proximally, two kissing 'bird beaks' are seen,.


Barium swallow showing the classic "bird beak" sign (tapering of the

Warblers, gnatcatchers and wrens have slender, tweezerlike bills fit for plucking unsuspecting insects off leaves and tree branches with precision. Other species prefer hitting the bird equivalent of the drive-thru. Purple martins, nighthawks and flycatchers have wide, flattened beaks for catching insects in midair.


Barium enema " bird beak sign " at the splenic flexure. Download

The inner bones of the bill do not grow as the bird ages, although the rhamphotheca grows continuously throughout the bird's life and is worn down through use. Sometimes, this causes the bills of caged birds to grow unusually long, but fortunately, experienced vets can trim the beak back into shape. In nature, constant regeneration helps.


Birds beak sign Radiology imaging, Medical radiography, Oncology nursing

Barium swallow showed the classic "bird beak" sign (Figure 2), and the high-resolution esophageal manometry (Figure 3) confirmed the diagnosis of type III esophageal achalasia based on the Chicago.


“Bird beak” sign and helical trend of the nasogastric tube after

The thrombus had an echolucent centre giving appearance of bird's beak ('Bird-beak sign'; figure 1, see online supplementary video 1). The patient was started on aggressive anticoagulation, rate control and diuretic therapy. After 2 months the patient underwent successful PTMC. Open in a separate window.


Birdbeak sign Radiology Reference Article

The esophageal bird's beak sign. Achalasia is an esophageal motility disorder characterized by abnormally decreased relaxation of the lower esophageal sphincter and decreased esophageal peristalsis [ 1 - 3 ]. While there is some uncertainty as to the role of the myenteric plexus ganglion cells in the pathogenesis of this condition.


Double Cervical Bird Beak Sign Resulting in Dysphagia

Bird's beak sign of the sigmoid is one of the signs of sigmoid volvulus. It represents gradual narrowing/tapering of the sigmoid colon up to the level of obstruction during contrast/barium insertion to the rectum or on CT. When located in the sigmoid colon, it suggests the diagnosis of sigmoid volvulus. If the obstruction is complete, no.


Double Cervical Bird Beak Sign Resulting in Dysphagia

Case Discussion. The patient was suspected for sigmoid volvulus on x-ray (unfortunately, not available). Subsequently, Gastrografin enema was performed for therapeutic detorsion of the volvulus. However, therapeutic detorsion by Gastrografin enema was not achieved and the patient underwent sigmoidoscopy which finally relieved the volvulus.


Barium swallow showing emptying defect with “bird beak” sign and

bird beak sign: if rectal contrast has been administered 6. X-marks-the-spot sign: crossing loops of bowel at the site of the transition. split wall sign: mesenteric fat seen indenting or invaginating the wall of the bowel. steel pan sign: a close resemblance to the percussion instrument known as a steelpan 9,10. Treatment and prognosis


A case of sigmoid volvulus with classical bird's beak sign

The bird's beak sign of the esophagus is used to refer to the tapering of the inferior esophagus in achalasia. The same appearance is also referred to as the rat's tail sign. The appearance, although classically occurring in primary achalasia, can also occur in pseudoachalasia due to a gastric tumor involving the gastro-esophageal junction.


Barium swallow. A Barium swallow revealing a bird's beak sign; B

This bird beak sign, originally applied to the appearance of sigmoid volvulus on conventional radiographs, can also be appreciated on axial CT images of the loop-type cecal volvulus. A specific CT sign for volvulus is the whirl sign , which has been described in volvulus of the midgut, cecum, and sigmoid colon 3 .


Barium enema " bird beak sign " at the splenic flexure. Download

This sign can be distinguished from other described bird's beak signs as previously mentioned, and can possibly be diagnostic of achalasia for resource poor settings. The cost of an upper GI endoscopic study and conventional manometry ranges between $600-$700 USD, and this facility is not available in our public setting, versus a barium.


Barium swallow showed "Bird beak sign" suggestive of achalasia

The bird's beak sign metaphorically describes the fluoroscopic appearance of sigmoid volvulus. The sigmoid colon twists around its mesenteric axis, narrowing the lumen with resultant varying degrees of obstruction. On contrast enemas, the narrowed lumen just distal to the point of obstruction shows smooth tapering that resembles a bird's.


(a) Barium oesophagram that shows dilatation and bird beak sign

The hummingbird sign, also known as the penguin sign, refers to the appearance of the brainstem in patients with progressive supranuclear palsy (PSP) . The atrophy of the midbrain results in a profile of the brainstem (in the sagittal plane) in which the preserved pons forms the body of the bird, and the atrophic midbrain the head, with beak.