Then Eric Omar, Ofosu Andrew, Rawla Prashanth, Sunkara Tagore, Dadana Sriharsha, Culliford Andrea, Gaduputi Vinaya
Division of Gastroenterology and Hepatology, SBH Health System, 4422 Third Ave, Bronx, New York 10457, USA.
Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave, Brooklyn, NY 11201, USA.
Case Rep Gastrointest Med. 2019 Jan 13;2019:1803036. doi: 10.1155/2019/1803036. eCollection 2019.
Achalasia is an intrinsic disorder of the esophagus that results from loss of ganglion cells in the lower esophageal sphincter. Clinically it is manifested by dysphagia to solids and liquids, weight loss, regurgitation, and chest pain. Pseudoachalasia, in contrast, is a rare entity that causes identical symptoms, but has a divergent underlying pathogenesis. The symptomology in these cases oftentimes occurs secondary to extrinsic compression of the esophagus, mostly attributable to malignancy. Although many cases of extrinsic esophageal compression have been reported in the literature, rarely has this occurred secondary to Burkitt's lymphoma in an adult. Here, we present a case of Burkitt's lymphoma resulting in pseudoachalasia in a 70-year-old female. The concurrence of these two entities in one patient makes this case presentation especially rare.
贲门失弛缓症是一种食管的原发性疾病，由食管下括约肌神经节细胞缺失所致。临床上表现为固体和液体吞咽困难、体重减轻、反流和胸痛。相比之下，假性贲门失弛缓症是一种罕见的病症，可导致相同症状，但具有不同的潜在发病机制。这些病例的症状通常继发于食管外部压迫，主要归因于恶性肿瘤。尽管文献中已报道了许多食管外部压迫的病例，但在成人中继发于伯基特淋巴瘤的情况很少见。在此，我们报告一例70岁女性因伯基特淋巴瘤导致假性贲门失弛缓症的病例。这两种病症在同一患者中并发使得该病例报告尤为罕见。
