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首页> 外文期刊>European journal of gastroenterology and hepatology >Pseudoachalasia caused by pancreatic carcinoma.
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Pseudoachalasia caused by pancreatic carcinoma.

机译：假性al门失弛缓症由胰腺癌引起。

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摘要

Secondary achalasia or pseudoachalasia is mostly caused by gastric or oesophageal carcinoma. Here we report a case of pseudoachalasia caused by a pancreatic tumour invading the cardiac region. A 66-year-old man with a 2-month history of dysphagia and weight loss showed no abnormalities on upper gastrointestinal endoscopy and computed tomography scan, but had no swallow-induced relaxation on oesophageal manometry. Based on the patient's history and oesophageal manometry findings, further investigation was performed to exclude pseudoachalasia. Endoscopic ultrasonography showed abnormalities in the cardiac region, but large endoscopic biopsies showed no malignancy. A laparotomy was performed, which revealed a large, irresectable tumour originating from the pancreatic corpus region and expanding into the gastric cardia region. This case illustrates that a pancreatic tumour invading the cardiac region may present as pseudoachalasia.
机译：继发性门失弛缓或假性al门失弛缓主要由胃癌或食道癌引起。在这里，我们报告由胰腺肿瘤侵犯心脏区域引起的假性ach门失弛缓症一例。一名66岁的男性，有2个月的吞咽困难和体重减轻史，在上消化道内窥镜检查和X线断层扫描中均未见异常，但食管测压未发现吞咽引起的松弛。根据患者的病史和食管测压的发现，进行了进一步的研究以排除假性al门失弛缓症。内镜超声检查显示心脏区域异常，但大型内镜活检未见恶性肿瘤。进行了剖腹手术，发现了一个大的，不可切除的肿瘤，起源于胰体区域，并扩展到胃gastric门区域。该病例说明侵袭心脏区域的胰腺肿瘤可能表现为假性al门失弛缓。

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