Taehan Sohwagwan Undong Hakhoe chi; Korean journal of gastrointestinal motility; Korean journal of neurogastroenterology and motility; 대한소화관운동학회지
Pseudoachalasia or secondary achalasia is a rare motor abnormality mimicking primary achalasia. It has clinical, radiographic, and manometric features often indistinguishable from primary achalasia. The majority of reported cases of pseudoachlasia is associated with a neoplasm at or near the esophagogastric junction. A 62-year-old woman with inoperable pancreatic cancer presented with complaints of dysphagia, nausea and vomiting. Her endoscopic and esophageal manometric findings were compatible with achalasia. Abdominal CT scan revealed that gastroesophageal junction was compressed by a metastatic lymph node. We present a rare case of pseudoachalasia in which the primary cause of the disease was a pancreatic carcinoma.
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