Neonatal Achalasia Cardia: A Case Report.

Achalasia cardia is more common in adults between the ages of 30 and 60 years. It is relatively uncommon in children and very rare in infants. Only a few cases of infants with achalasia have been reported till now. It is a motility disorder of the esophagus due to a failure to relax the lower esophageal sphincter. The common clinical presentations in infants are regurgitation, vomiting, respiratory symptoms, and failure to thrive. This can be easily misdiagnosed as gastroesophageal reflux disease. Surgical management is the mainstay of treatment. Here, we present the case of a female newborn with symptoms suggestive of achalasia from day one of life and successfully treated with Heller's esophagocardiomyotomy and Nissen's fundoplication, following which the baby is asymptomatic and thriving well.

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Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.