Evidence map›Paper›PMID 41674885›Full record

ArticleClinical case reports2026

Pseudoachalasia due to Distal Esophageal Squamous Cell Carcinoma in an Elderly Patient: Clinical Insights.

Carlos Solórzano Flores, Iván Pineda, Neel Parikh, Hamza Yasser Mahmoud, Mohamed Hisham Alamin

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carlos Solórzano FloresFaculty of Medical Sciences National Autonomous University of Honduras (UNAH) Tegucigalpa Honduras.
Iván PinedaFaculty of Medical Sciences National Autonomous University of Honduras (UNAH) Tegucigalpa Honduras.
Neel ParikhZydus Medical College and Hospital Dahod India.
Hamza Yasser MahmoudFaculty of Medicine Alexandria University Alexandria Egypt.
Mohamed Hisham AlaminFaculty of Medicine International University of Africa Khartoum Sudan.ORCID https://orcid.org/0009-0002-3161-5828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudoachalasia is a rare condition that clinically and radiologically mimics primary achalasia, most commonly secondary to an underlying malignancy. We report the case of a 79-year-old man presenting with a two-month history of progressive dysphagia to both solids and liquids, accompanied by regurgitation, retrosternal discomfort, heartburn, and marked weight loss. Physical examination revealed cachexia and severe muscle wasting. A barium swallow demonstrated esophageal dilatation with a bird-beak appearance, suggestive of achalasia. Upper endoscopy showed nodular, friable mucosa in the distal esophagus with luminal stenosis, while contrast-enhanced CT identified a distal enhancing esophageal lesion. Histopathological examination of the biopsy confirmed a moderately differentiated squamous cell carcinoma. A Stamm gastrostomy was performed to provide enteral nutritional support prior to initiating oncologic management. This case underscores the diagnostic challenge of distinguishing pseudoachalasia from primary achalasia, emphasizing the need to recognize clinical red flags and to pursue targeted diagnostic studies for prompt, cancer-specific treatment.

Indexed as

deglutition disordersesophageal achalasiaesophageal neoplasmsesophageal squamous cell carcinomapseudoachalasia

Identifiers

PMID41674885
PMCPMC12885929

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.