A Case of Lung Abscess in an Achalasia Patient.
- Author:
Young Kwan KIM
1
;
Young Ho KIM
;
Nam Hoon KIM
;
Gin Bum KIM
;
Myung Gi LEE
;
Jae Young GUAHK
;
Yeon Hie JO
;
Young Rock LEE
;
Kyu Sik KIM
Author Information
1. Department of Internal Medicine, Chung Goo Sung Sim General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Achalasia;
Pulmonary complication;
Lung abscess
- MeSH:
Asthma;
Bronchiectasis;
Cough;
Deglutition Disorders;
Esophageal Achalasia*;
Esophagus;
Female;
Fever;
Ganglion Cysts;
Humans;
Lung Abscess*;
Lung*;
Manometry;
Middle Aged;
Myenteric Plexus;
Peristalsis;
Pneumonia, Aspiration;
Pulmonary Fibrosis;
Tomography, X-Ray Computed;
Tuberculosis, Pulmonary
- From:Korean Journal of Gastrointestinal Endoscopy
1997;17(4):523-528
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophagea1 achalasia is a disease of unkown etiology characterized by abscenee of peristalsis in the body of the esophagus and failure of the lower esaphageal sphincter to relax in response to swallow. The cause has been suggested by the lack or abscence of ganglion cell in Auerbach's plexus. About 10% of patients with achalasis develop pulmonary complication such as aspiration pnuemonia, pulmonary fibrosis, pulmonary tuberculosis, culosis, bronchiectasis, lung abscess and bronchial asthma. Although aspiration pneumonia is the most common pulmonary complication in patients with achalasia, lung abscess is the extremely rare complication. A 48 years old female, who has experienced dysphagia and regurgitation for several years, is hospitalized because of high fever, cough and sputurn for 2 weeks. Lung abscess in apicoposterior segment of left upper lobe is observed in X-ray and chest CT. The findings of esophagogram, esophagogastroscopy and esophageal manometry are consistent with achalasia. We report a case of lung abscess associated with achalasia.
