{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:57:19Z","timestamp":1772999839126,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pseudoachalasia is a rare condition that clinically and radiologically mimics primary achalasia, most commonly secondary to an underlying malignancy. We report the case of a 79\u2010year\u2010old man presenting with a two\u2010month history of progressive dysphagia to both solids and liquids, accompanied by regurgitation, retrosternal discomfort, heartburn, and marked weight loss. Physical examination revealed cachexia and severe muscle wasting. A barium swallow demonstrated esophageal dilatation with a bird\u2010beak appearance, suggestive of achalasia. Upper endoscopy showed nodular, friable mucosa in the distal esophagus with luminal stenosis, while contrast\u2010enhanced CT identified a distal enhancing esophageal lesion. Histopathological examination of the biopsy confirmed a moderately differentiated squamous cell carcinoma. A Stamm gastrostomy was performed to provide enteral nutritional support prior to initiating oncologic management. This case underscores the diagnostic challenge of distinguishing pseudoachalasia from primary achalasia, emphasizing the need to recognize clinical red flags and to pursue targeted diagnostic studies for prompt, cancer\u2010specific treatment.<\/jats:p>","DOI":"10.1002\/ccr3.71991","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T04:27:57Z","timestamp":1770697677000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pseudoachalasia due to Distal Esophageal Squamous Cell Carcinoma in an Elderly Patient: Clinical Insights"],"prefix":"10.1002","volume":"14","author":[{"given":"Carlos Sol\u00f3rzano","family":"Flores","sequence":"first","affiliation":[{"name":"Faculty of Medical Sciences National Autonomous University of Honduras (UNAH)  Tegucigalpa Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iv\u00e1n","family":"Pineda","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences National Autonomous University of Honduras (UNAH)  Tegucigalpa Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neel","family":"Parikh","sequence":"additional","affiliation":[{"name":"Zydus Medical College and Hospital  Dahod India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamza Yasser","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3161-5828","authenticated-orcid":false,"given":"Mohamed Hisham","family":"Alamin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine International University of Africa  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)02226\u20108"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2022.05.054"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2016.03.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2017.03.03"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEG.S141642"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10388\u2010020\u201000720\u20101"},{"key":"e_1_2_11_8_1","volume-title":"Key Statistics for Esophageal Cancer","author":"American Cancer Society","year":"2025"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.14057"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.3.1750727"},{"key":"e_1_2_11_11_1","first-page":"2014","article-title":"Difficulties in the Diagnosis of Pseudoachalasia","volume":"89","author":"Tracey J. P.","year":"1994","journal-title":"American Journal of Gastroenterology"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71991","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71991","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71991","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:23:49Z","timestamp":1772990629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ccr3.71991"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71991","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-11-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71991"}}