Pseudoachalasia secondary to pleural mesothelioma
Laparoscopy as the key to diagnosis
- 22.12.2017
- case report
Erschienen in:
- Verfasst von
- Pamela Milito
- Michael Denis Kelly
- Emanuele Asti
- Prof. Luigi Bonavina
- Erschienen in
- European Surgery | Ausgabe 1/2018
Summary
Background
Pseudoachalasia due to an occult malignant tumor accounts for about 5% of patients presenting with clinical features of achalasia. Pleural mesothelioma is a rare cause of pseudoachalasia and may present without respiratory symptoms or chest pain.
Methods
We present two cases of pseudoachalasia from pleural mesothelioma diagnosed by laparoscopic biopsy over a 10-year period.
Results
In both patients, the onset of the disease was atypical, with dysphagia and weight loss being the predominant symptoms; no dyspnea or chest pain was reported. Prolonged (>40 years) occupational exposure to asbestos was reported only by one of the patients. Treatment was palliative and consisted of endoscopic stenting and chemotherapy.
Conclusion
The diagnosis of pseudoachalasia is not always straightforward. Laparoscopy is a safe and effective method for obtaining a biopsy.
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- Titel
-
Pseudoachalasia secondary to pleural mesothelioma
Laparoscopy as the key to diagnosis - Verfasst von
-
Pamela Milito
Michael Denis Kelly
Emanuele Asti
Prof. Luigi Bonavina
- Publikationsdatum
- 22.12.2017
- Verlag
- Springer Vienna
- Erschienen in
-
European Surgery / Ausgabe 1/2018
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016 - DOI
- https://doi.org/10.1007/s10353-017-0509-6
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