Hong Kong Med J 2003;9:296-8 | Number 4, August 2003
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.
Key words: Cholangiocarcinoma; Esophageal achalasia; Gastroparesis
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