Document Detail

Esophageal intramural pseudodiverticulosis associated with achalasia.
MedLine Citation:
PMID:  8792718     Owner:  NLM     Status:  MEDLINE    
Esophageal intramural pseudodiverticulosis (EIPD) is a rare condition in which multiple small outpouchings are seen in the wall of the esophagus. Although EIPD is typically associated with esophageal narrowing, only a few cases have been described in which it was associated with esophageal dysmotility. We report the case of a 52-yr-old female who presented with dysphagia and who had EIPD protruding from a 5-cm-long concentric distal esophageal stricture, with a markedly dilated upper and middle third of the esophagus. The short segment of the esophagus between the stricture and the lower esophageal sphincter also was dilated. Barium column was held up above a nonrelaxing lower esophageal sphincter that opened after inhalation of amylnitrate. Esophageal manometry confirmed the presence of vigorous achalasia. Although EIPD has been associated with several other conditions, this is the first report of an association with achalasia.
K S Dua; E Stewart; R Arndorfer; R Shaker
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  91     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-17     Completed Date:  1996-10-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1859-60     Citation Subset:  IM    
Department of Medicine, MCW Dysphagia Institute, Medical College of Wisconsin, Milwaukee, USA.
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MeSH Terms
Deglutition Disorders / etiology
Diverticulum, Esophageal / complications*,  radiography
Esophageal Achalasia / complications*,  radiography
Esophageal Stenosis / complications,  radiography
Esophagus / radiography
Middle Aged
Grant Support

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