Presentation
Dysphagia.
Patient Data
Age: 70 years
Gender: Male
From the case:
Pseudoachalasia
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Proximal and middle oesophageal dilatation with distal irregular severe narrowing with shouldering appearance are present in favour of tumoural infiltration of distal oesophagus. (path proven)
From the case:
Pseudoachalasia
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Same patient after oesophageal stent placement.
Case Discussion
Pseudoachalasia is achalasia-pattern dilatation of the oesophagus due to the narrowing of the distal oesophagus from causes other than primary denervation. The most common cause of pseudoachalasia is malignancy (often submucosal gastric cancer) with extension in the lower oesophagus.
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