A Case of Pseudoachalasia Accompanied by Pancreatic Cancer

Abstract

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.