Am J Otolaryngol Head Neck Surg | Volume 3, Issue 3 | Research Article | Open Access

Hypopharyngo Oesophago Gastric Lipoma and Pseudoachalasia

John KC Chan1, Mamun Rashid1*, Sri Kadirkamanathan2 and Albert Pace-Balzan3

1Department of Otolaryngology, Bedford Hospital, UK
2Department of General Surgery, Broomfield Hospital, UK
3Department of Otolaryngology, Broomfield Hospital, UK

*Correspondance to: Mamun Rashid 

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Abstract

Introduction: We report the first case of pseudoachalasia caused by a hypopharyngeal-oesophageal gastric lipoma and its treatment. Case Report: A 71-year-old woman presented with symptoms of Pseudoachalasia including dysphagia, loss of weight, appetite, and recent hematemesis. Computed Tomography (CT) and Oesophagogastroduodenoscopy (OGD) revealed a hypopharyngeal-oesophageal-gastric lesion. The endoscopic stapling of the lesion’s pedicle with the delivery of the lesion through a gastrotomy was performed. The histological assessment confirmed the lesion to be a lipoma. The patient made an uneventful recovery with no further recurrence at 6 months following surgery. Discussion: Pseudoachalasia refers to the development of ‘achalasia-like’ syndrome secondary to underlying diseases. Here, we report the first case of hypopharyngeal-oesophageal-gastric lipoma which we successfully treated with surgical excision. This report also highlights the importance of differentiating between Pseudoachalasia and idiopathic achalasia as the treatment for these conditions are entirely different.

Keywords:

Lipoma; Hypo pharyngeal neoplasms; Oesophageal neoplasm; Oesophageal achalasia; Manometry medical specialty; Head and neck

Citation:

Chan JKC, Rashid M, Kadirkamanathan S, Pace-Balzan A. Hypopharyngo Oesophago Gastric Lipoma and Pseudoachalasia. Am J Otolaryngol Head Neck Surg. 2020;3(3):1092.

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