Document Detail

Pancreatic pseudocyst mimicking idiopathic achalasia.
MedLine Citation:
PMID:  9448185     Owner:  NLM     Status:  MEDLINE    
Pseudoachalasia or secondary achalasia is commonly recognized and sought for in the context of an elderly patient presenting with weight loss and brief duration of symptoms. The majority of cases are caused by adenocarcinomas of the fundus or the cardia. It is accepted by gastroenterologists that endoscopy with "routine retroflexion" and biopsy are necessary in any newly diagnosed case of achalasia. Benign causes of pseudoachalasia are extremely rare in this country. In developing countries and South America, Chagas' Disease may mimic achalasia. Herein, we present a case of secondary achalasia linked to an unrecognized mediastinal pancreatic pseudocyst that resolved with appropriate treatment of the underlying cause.
J H Colarian; M Sekkarie; R Rao
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  93     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-09     Completed Date:  1998-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  103-5     Citation Subset:  IM    
Department of Medicine, Bluefield Regional Medical Center, West Virgina, USA.
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MeSH Terms
Deglutition Disorders / etiology
Diagnosis, Differential
Esophageal Achalasia / diagnosis,  etiology*
Follow-Up Studies
Middle Aged
Pancreatic Pseudocyst / diagnosis*,  radiography,  surgery
Time Factors
Tomography, X-Ray Computed

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