An Unusual Case of Submucosal Invasion of Esophageal Squamous Cell Carcinoma Mistaken as Primary Achalasia.
- Author:
Jung Ho PARK
1
;
Dong Il PARK
;
Hong Joo KIM
;
Yong Kyun CHO
;
Chong Il SOHN
;
Woo Kyu JEON
;
Byung Ik KIM
Author Information
1. Department of Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. pjho3@hotmail.com
- Publication Type:Case Report
- Keywords:
Achalasia;
Squamous cell carcinoma;
Balloon dilatation
- MeSH:
Barium;
Biopsy;
Carcinoma, Squamous Cell;
Deglutition Disorders;
Dilatation;
Endoscopy;
Esophageal Achalasia;
Esophageal Neoplasms;
Esophageal Perforation;
Esophagectomy;
Esophagogastric Junction;
Esophagus;
Humans;
Manometry;
Middle Aged;
Stents;
Weight Loss
- From:Journal of Neurogastroenterology and Motility
2010;16(2):194-198
- CountryRepublic of Korea
- Language:English
-
Abstract:
Secondary achalasia due to submucosal invasion of esophageal squamous cell carcinoma (SCC) is a very rare condition. Here, we report a case of secondary achalasia diagnosed after distal esophagectomy, initially mistaken as primary achalasia. A 51-year-old man presented with progressive dysphagia for 2 months and mild weight loss. A barium swallow study, endoscopy, and manometry showed typical findings of primary achalasia. Pneumatic dilatation was performed, but esophageal perforation occurred as a complication. During surgical repair, no abnormalities around distal esophagus were found, and intraoperative esophageal biopsy revealed only inflammatory cells. During the following 8 months, the patient suffered from dysphagia caused by recurrent esophageal obstruction several times although of repeated balloon dilatation and esophageal stent insertion. Finally, he received a distal esophagectomy. The postoperative pathology revealed SCC at the distal esophagus and esophagogastric junction.
