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Cholangiocarcinoma presenting as pseudoachalasia
and gastroparesis
VKS Leung, PS Kan, MS Lai
Department of Medicine and Geriatrics, United Christian Hospital,
130 Hip Wo Street, Kwun Tong, Hong Kong
Cholangiocarcinoma most commonly presents as painless
progressive jaundice. We report a case occurring in a 56-year-old
Chinese woman with an unusual presentation of progressive dysphagia
and vomiting. Oesophageal manometric and barium studies were indicative
of achalasia, and computed tomography confirmed the presence of
cholangiocarcinoma extending to the gastroesophageal junction and
proximal lesser curve of the stomach. In this
case, a constricting tumour at the gastroesophageal junction with
probable invasion of the vagus nerves led to features of achalasia
and gastroparesis.
Hong Kong Med J 2003;9:296-8
Key words: Cholangiocarcinoma; Esophageal achalasia;
Gastroparesis
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