ArticleACG case reports journal2025
Pseudoachalasia in an Achalasia Patient: A Ticking Time Bomb.
Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
The differential for dysphagia is broad, with dysphagia aortica being an incredibly rare cause of pseudoachalasia. In a patient with longstanding, refractory achalasia who presents with progressive dysphagia, Occam's Razor would suggest that the underlying cause remains achalasia itself. We present a case in which a patient with known achalasia developed concurrent pseudoachalasia due to dysphagia aortica. This case underscores the diligence of her gastroenterologist in identifying an unsuspected aortic aneurysm-an entity that the cardiothoracic surgery team deemed "a ticking time bomb." It is critical to always consider Hickam's dictum: Patients may have multiple diseases simultaneously.
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