말초성 담관암에 의한 속발성 식도이완불능증 및 유문부 협착 1예

Abstract

We have infrequently experienced several cases of secondary achalasia caused by malignancy. Gastric carcinoma is the most common cause of secondary achalasia but other types of malignancy are rarely reported as a cause. Recently, we experienced a case of secondary achalasia and pyloric stenosis in a 62- year-old woman. She had a peripheral cholangiocarcinoma in the left lobe of the liver, which caused secondary achalasia by the direct invasion into the gastroesophageal junction. After 2 months, this malignancy caused pyloric stenosis by direct invasion of the gastric pylorus