Primary rhabdomyosarcoma of the diaphragm: an unusual cause of adolescent pseudo-achalasia.
We report an adolescent male who presented with progressive dysphagia. Barium examination and upper endoscopy revealed the presence of a smoothly tapered stricture at the lower end of a dilated oesophagus typical of achalasia. Further evaluation by computed tomography (CT), demonstrated the presence of a bulky infiltrating diaphragmatic mass encasing the lower oesophagus. CT guided biopsy of the mass and subsequent post mortem examination revealed the presence of a primary rhabdomyosarcoma of the diaphragm encasing the lower oesophagus. A diagnosis of pseudo-achalasia secondary to a primary diaphragmatic tumour was made.
Eustace
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S
Department of Radiology, Deaconess Hospital, Boston, MA 02215.
Fitzgerald
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E
D002648:Child; D003964:Diaphragm / Q000000981:diagnostic imaging; D004931:Esophageal Achalasia / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D012208:Rhabdomyosarcoma / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed