Volume 28, Issue 1 (1-2014)                   Med J Islam Repub Iran 2014 | Back to browse issues page

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Roushan N, Zolfaghari A, Asadi M, Taslimi R. Pseudoachalasia: a diagnostic challenge. Med J Islam Repub Iran 2014; 28 (1) :332-335
URL: http://mjiri.iums.ac.ir/article-1-2329-en.html
Pseudoachalasia: a diagnostic challenge
Nader Roushan , Abolfazl Zolfaghari , Mehrnaz Asadi , Reza Taslimi
Department of Internal Medicine, Division of Gastroenterology, Imam Khomeini Hospital,Tehran University of Medical Sciences, Tehran, Iran. , nroshan@tums.ac.ir
Abstract:   (3609 Views)

Here, we present a case of a 78-year-old man that underwent gastrointestinal endoscopy because of one- month

history of dysphagia to liquids and solid foods with accompanying weight loss. On endoscopy, there was distal

esophageal stenosis. Multiple biopsies were obtained. Histologic examination of the samples revealed normal

tissue. The stenosis was treated by dilatation and abdomino pelvic computed tomography scanning was performed

to search for an underlying malignant lesion that showed a mass adjacent to distal esophagus. We did

endosonography- guided fine needle aspiration of the mass. It was a squamous cell carcinoma (SCC). Malignancy

is a challenging diagnosis in patients with dysphagia and near normal endoscopy. To our knowledge,

there are a few reports of SCC to cause it.
Keywords: Achalasia, Dysphagia.
Full-Text [PDF 1037 kb]   (2436 Downloads)    
Type of Study: case report | Subject: Gastroenterology
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