BACKGROUND Pseudoachalasia is a rare disorder which has clinical, radiographic, and manometric findings that are often indistinguishable from primary achalasia. It is usually associated with malignancy. Few reports describe vascular compression as a cause of pseudoachalasia. CASE PRESENTATION Here we present a case of a 84-year-old woman with anorexia, dysphagia and unintentional weight loss initially diagnosed as achalasia. Upon further investigation a rare cause of pseudoachalasia due to vascular compression of the esophagus was found. It could have been overlooked due to the fact that the initial work-out with a barium swallow, manometry and endoscopy was suggestive for primary achalasia. CONCLUSION Particularly in older patients with a manometric diagnosis of achalasia, additional investigation to rule out pseudoachalasia is warranted. Although malignant involvement of the esophagus is the most common cause of pseudoachalasia, benign origins have also been described.

中文翻译：

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病例报告：主动脉瘤是假性ach门失弛缓的原因。

背景技术假性ach门失弛缓症是一种罕见的疾病，其临床，影像学和测压发现与原发性门失弛缓症通常难以区分。它通常与恶性肿瘤有关。很少有报道将血管压迫作为假性ach门失弛缓的原因。病例介绍在这里，我们介绍了一个84岁的女性，该女性最初被诊断为门失弛缓，吞咽困难和无意识的体重减轻。经过进一步研究，发现了由于食道血管受压而导致假性ach门失弛缓的罕见原因。由于最初的钡餐吞咽，测压和内窥镜检查提示原发性门失弛缓症，因此本可以忽略不计。结论尤其是在经测压诊断为门失弛缓的老年患者中，有必要进行进一步研究以排除假性ach门失弛缓。