Secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver

Sang Wook Yoon, Jeong Sik Yu, HyoJin Park, Mi Suk Park, Hee Jin Kim, Whang Kim Ki

Research output: Contribution to journalArticle

Abstract

Secondary achalasia caused by malignancy is an infrequent disorder. A 61-year-old woman presented with dysphagia and 8 kg weight loss during 8 months. Barium esophagography showed an esophageal dilatation with smooth tapering at the distal esophagus near the lower esophageal sphincter (LES). Endoscopic ultrasonography demonstrated loss of normal layering and wall thickening at LES area. CT revealed a 5 cm sized low density mass adjacent to the esophagogastric junction in left lobe of the liver, which was confirmed as cholangiocarcinoma. It is the first report of the secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver. This case highlights the fact that endoscopic ultrasonography and cross-sectional imaging such as CT must be required in the case of recent onset of dysphagia in older patient to rule out secondary achalasia.

Original languageEnglish
Pages (from-to)89-92
Number of pages4
JournalEuropean Journal of Radiology Extra
Volume50
Issue number3
DOIs
Publication statusPublished - 2004 Jan 1

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Esophageal Achalasia
Cholangiocarcinoma
Lower Esophageal Sphincter
Endosonography
Deglutition Disorders
Liver
Esophagogastric Junction
Barium
Esophagus
Weight Loss
Dilatation
Neoplasms

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Yoon, Sang Wook ; Yu, Jeong Sik ; Park, HyoJin ; Park, Mi Suk ; Kim, Hee Jin ; Ki, Whang Kim. / Secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver. In: European Journal of Radiology Extra. 2004 ; Vol. 50, No. 3. pp. 89-92.
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Secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver. / Yoon, Sang Wook; Yu, Jeong Sik; Park, HyoJin; Park, Mi Suk; Kim, Hee Jin; Ki, Whang Kim.

In: European Journal of Radiology Extra, Vol. 50, No. 3, 01.01.2004, p. 89-92.

Research output: Contribution to journalArticle

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T1 - Secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver

AU - Yoon, Sang Wook

AU - Yu, Jeong Sik

AU - Park, HyoJin

AU - Park, Mi Suk

AU - Kim, Hee Jin

AU - Ki, Whang Kim

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AB - Secondary achalasia caused by malignancy is an infrequent disorder. A 61-year-old woman presented with dysphagia and 8 kg weight loss during 8 months. Barium esophagography showed an esophageal dilatation with smooth tapering at the distal esophagus near the lower esophageal sphincter (LES). Endoscopic ultrasonography demonstrated loss of normal layering and wall thickening at LES area. CT revealed a 5 cm sized low density mass adjacent to the esophagogastric junction in left lobe of the liver, which was confirmed as cholangiocarcinoma. It is the first report of the secondary achalasia caused by peripheral cholangiocarcinoma in left lobe of the liver. This case highlights the fact that endoscopic ultrasonography and cross-sectional imaging such as CT must be required in the case of recent onset of dysphagia in older patient to rule out secondary achalasia.

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