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Esophageal achalasia in an adolescent in Central Africa: a case report


Trésor Kibangula Kasanga
Manix Ilunga Banza
Florent Tshibwid A Zeng
Augustin Kibonge Mukakala
Jonas Tshilolo-Yona
Williams Kalala Mpumbwa
Anatole Nyembwe Mbuyi
Olivier Tshiteya Kabeya
Sébastien Mbuyi-Musanzayi

Abstract

Esophageal Achalasia has rarely been reported in sub-Saharan Africa. We report a case of a 12 years old boy who has been diagnosed after experiencing dysphagia for a year and progressive wasting. Esophagogram was the only exploration available in our settings and showed classical features. He underwent a Heller esophago-cardiomyotomy with Toupet fundoplication. Postoperative period was unremarkable and BMI normalized for age and sex on the sixth postoperative month. In low settings, history is a key step which lead to clinical suspicion as esophagogram is often the only available exploration to confirm the diagnosis.


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eISSN: 1937-8688