Korean J Gastrointest Endosc.  1997 Aug;17(4):523-528.

A Case of Lung Abscess in an Achalasia Patient

Affiliations
  • 1Department of Internal Medicine, Chung Goo Sung Sim General Hospital, Seoul, Korea.

Abstract

Esophagea1 achalasia is a disease of unkown etiology characterized by abscenee of peristalsis in the body of the esophagus and failure of the lower esaphageal sphincter to relax in response to swallow. The cause has been suggested by the lack or abscence of ganglion cell in Auerbach's plexus. About 10% of patients with achalasis develop pulmonary complication such as aspiration pnuemonia, pulmonary fibrosis, pulmonary tuberculosis, culosis, bronchiectasis, lung abscess and bronchial asthma. Although aspiration pneumonia is the most common pulmonary complication in patients with achalasia, lung abscess is the extremely rare complication. A 48 years old female, who has experienced dysphagia and regurgitation for several years, is hospitalized because of high fever, cough and sputurn for 2 weeks. Lung abscess in apicoposterior segment of left upper lobe is observed in X-ray and chest CT. The findings of esophagogram, esophagogastroscopy and esophageal manometry are consistent with achalasia. We report a case of lung abscess associated with achalasia.

Keyword

Achalasia; Pulmonary complication; Lung abscess

MeSH Terms

Asthma
Bronchiectasis
Cough
Deglutition Disorders
Esophageal Achalasia*
Esophagus
Female
Fever
Ganglion Cysts
Humans
Lung Abscess*
Lung*
Manometry
Middle Aged
Myenteric Plexus
Peristalsis
Pneumonia, Aspiration
Pulmonary Fibrosis
Tomography, X-Ray Computed
Tuberculosis, Pulmonary
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