Achalasia of the cardia - a pediatric case report

Boshkovska, Katerina and Bojadzieva, Sonja and Popova, Gorica and Arnaudova-Danevska, Ivana and Chakalarovska, Irena (2021) Achalasia of the cardia - a pediatric case report. Acta morphologica, 18 (2). pp. 80-84. ISSN UDC: 616.329-009.1-053.2

Text 2021 Katerina Boskovska 80-84.pdf Download (158kB)

Abstract

Introduction: Achalasia is an esophageal motor disorder characterized by aperistalsis of
the esophageal body and lack of relaxation of the lower sphincter in response to swallows. It
affects both sexes and all age groups. The exact etiology of this degeneration is unclear though
many theories have been proposed. Possible etiology of achalasia can be familial, infection or
autoimmune. Patients often present with progressive dysphagia to solids and liquids, heartburn,
chest pain, regurgitation, and varying degrees of weight loss or nutritional deficiencies.
Case report: In January 2020, a 10 years old boy was admitted to our hospital due to
vomiting, chest pain during swallowing, and prolonged cough. A lot of investigations were
performed. Fyberbronchoscopy showed that the trachea, the right main bronchus and the left
main bronchus were with anteroposterior narrowed lumen. Computed tomography of thorax
and abdomen showed dilated esophagus with largest diameter of 45 mm subcarinal with
retained content.There is a compression of the right hillus. The finding indicates achalasia of
the cardia. One month after the hospital stay, the child was admitted at the Clinic for pediatric
surgery. Laparoscopic Heller Myotomy (LHM) with antireflux Dor fundoplication was
performed. The following period the boy has no gastric or respiratory symptoms.
Conclusion: We can conclude that it is worth to suspect achalasia in a pediatric patient
with prolonged cough and recurrent respiratory infections refractory to conventional treatments
such as bronchodilators, especially if the patient also has a history of vomiting and dysphagia.

Item Type:	Article
Uncontrolled Keywords:	achalasia, esophagus, pediatric
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Gorica Popova
Date Deposited:	04 Jul 2023 10:45
Last Modified:	04 Jul 2023 10:45
URI:	https://eprints.ugd.edu.mk/id/eprint/32000

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