Unusual achalasic sigmoid esophagus

  • Narendra Pandit B.P. Koirala Institute of Health Sciences Dharan, Nepal
  • Vijay Shrestha B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Laligen Awale B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Lokesh Shekher Jaiswal B.P. Koirala Institute of Health Sciences, Dharan, Nepal
Keywords: Achalasia cardia, Heller's myotomy, Malnutrition, Sigmoid esophagus

Abstract

Achalasia cardia is a rare primary esophageal motility disorder with an incidence of about 1 in 100,000 individuals. If left untreated or inappropriately treated, the disease may progress to end-stage achalasia characterized by megaesophagus or sigmoid esophagus. The presentation as severe malnutrition, anemia, hypoalbuminemia, and asymptomatic tracheal compression has not been described in the setting of the sigmoid esophagus, in absence of underlying malignancy. Here we report an interesting case of a young male, who presented with the above features and managed excellently by open Heller’s myotomy under epidural anesthesia due to the poor performance status.

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Author Biographies

Narendra Pandit, B.P. Koirala Institute of Health Sciences Dharan, Nepal

Department of Surgery

Vijay Shrestha, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Department of Surgery

Laligen Awale, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Depatment of Surgery

Lokesh Shekher Jaiswal, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Department of Surgery

Published
2019-12-31
How to Cite
Pandit, N., Shrestha, V., Awale, L., & Jaiswal, L. (2019). Unusual achalasic sigmoid esophagus. Journal of Society of Surgeons of Nepal, 22(2), 35-37. https://doi.org/10.3126/jssn.v22i2.28743
Section
Case Reports