Recurrent gastric carcinoma causing pseudoachalasia: case report

We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion,...

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Bibliographic Details
Published in:Diseases of the esophagus 2000-03, Vol.13 (1), p.87-90
Main Authors: Iascone, C., Maffi, C., Pascazio, C., Sciacca, V.
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Aged
Esophageal Achalasia - etiology
Humans
Male
Neoplasm Recurrence, Local - complications
Stomach Neoplasms - complications
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Summary:We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion, barium swallow, repeated endoscopic biopsies and computed tomography (CT) scan of the upper abdomen did not reveal any abnormalities to indicate a recurrence. However, in the following months, because of worsening symptoms, a further CT scan was performed and revealed thickening of the cardia and gastric wall. The patient underwent an exploratory laparotomy that showed an unresectable lesion involving the gastric fundus, the diaphragm and penetrating into the mediastinum, and therefore a palliative jejunostomy was performed.
ISSN:1120-8694
1442-2050
DOI:10.1046/j.1442-2050.2000.00085.x