Esophageal Adenocarcinoma Presenting as Pseudo-Achalasia in a Patient with Juvenile Polyposis Syndrome: An Enemy Out of the Blue

Chun, Carlene L.; Eisenstat, Saul; Dormady, Shane P.; Lombard, Charles; Triadafilopoulos, George

doi:10.1007/s10620-011-1579-0

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2017

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“…To our knowledge, there is one case report highlighting pseudoachalasia as an only finding in an adenocarcinoma and this was in a juvenile with polyposis syndrome. 9 We believe this is a rare finding; therefore, we present a case report where achalasia has been the only symptom in adenocarcinoma of the oesophagus.…”

Section: Introductionmentioning

confidence: 83%

Achalasia leading to diagnosis of adenocarcinoma of the oesophagus

Segal¹,

Lagundoye

Carter

2017

BMJ Case Reports

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A 50-year-old male with a 7 month history of progressive dysphagia to solids then subsequently to liquids. He underwent a diagnostic gastroscopy which was normal. A further barium swallow suggested achalasia. He was referred to a tertiary centre, where he underwent pH and manometry studies which confirmed a diagnosis of achalasia. He was referred for a laparoscopic cardiomyotomy, and at surgery there was a suspected tumour at the gastro-oesophageal junction. A follow-up endoscopy with biopsies was normal. Following this, a positron emission tomography scan showed T3 distal oesophageal cancer with no nodal involvement or distal metastasis. An attempt at oesophagectomy was performed, but at operation there was locally advanced carcinoma infiltrating the coeliac axis. He is currently undergoing palliative chemotherapy.

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Section: Introductionmentioning

confidence: 83%