Abstract
Achalasia cardia is due to loss of myenteric ganglion cells in the gastroesophageal junction and the etiology is idiopathic. But a similar clinical picture can be produced by other diseases, a condition termed as secondary or pseudoachalasia. A very high index of suspicion is required for the diagnosis of this condition because this is most commonly produced by a malignancy involving the gastroesophageal junction which is likely to be missed as in our case. We have presented an analysis of the literature available in this context, a knowledge of which will surely help to suspect this condition in atypical cases of achalasia.
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