Case report: an aortic aneurysm as cause of pseudoachalasia.

Abstract:

BACKGROUND:Pseudoachalasia is a rare disorder which has clinical, radiographic, and manometric findings that are often indistinguishable from primary achalasia. It is usually associated with malignancy. Few reports describe vascular compression as a cause of pseudoachalasia. CASE PRESENTATION:Here we present a case of a 84-year-old woman with anorexia, dysphagia and unintentional weight loss initially diagnosed as achalasia. Upon further investigation a rare cause of pseudoachalasia due to vascular compression of the esophagus was found. It could have been overlooked due to the fact that the initial work-out with a barium swallow, manometry and endoscopy was suggestive for primary achalasia. CONCLUSION:Particularly in older patients with a manometric diagnosis of achalasia, additional investigation to rule out pseudoachalasia is warranted. Although malignant involvement of the esophagus is the most common cause of pseudoachalasia, benign origins have also been described.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Dejaeger M,Lormans M,Dejaeger E,Fagard K

doi

10.1186/s12876-020-01198-y

subject

Has Abstract

pub_date

2020-03-06 00:00:00

pages

63

issue

1

issn

1471-230X

pii

10.1186/s12876-020-01198-y

journal_volume

20

pub_type

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