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Pseudoachalasia

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Dysphagia.

Patient Data

Age: 70 years
Gender: Male
Fluoroscopy

Proximal and middle esophageal dilatation with distal irregular severe narrowing with shouldering appearance are present in favor of tumoral infiltration of distal esophagus. (path proven)

X-ray

Same patient after esophageal stent placement.

Case Discussion

Pseudoachalasia is achalasia-pattern dilatation of the esophagus due to the narrowing of the distal esophagus from causes other than primary denervation. The most common cause of pseudoachalasia is malignancy (often submucosal gastric cancer) with extension in the lower esophagus.

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Case information

rID: 54229
Published: 28th Jun 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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