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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 639698, 4 pages
http://dx.doi.org/10.1155/2013/639698
Case Report

Esophageal Achalasia: An Uncommon Complication during Pregnancy Treated Conservatively

1Obstetrics and Gynaecology Department, Watford General Hospital, 35 The Spinney, Watford, Hertfordshire WD17 4QF, UK
2Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA 19140, USA

Received 15 November 2012; Accepted 6 December 2012

Academic Editors: T. Guvenal, T. Levy, and S. Rasmussen

Copyright © 2013 Dimitrios Spiliopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 38-year-old Caucasian woman, gravida 3 para 2, was admitted at 29 weeks of gestation because of vomiting, dysphagia for solids and liquids, and loss of weight. An enlargement of the anterior left neck region was noted on the palpation of the thyroid gland. An MRI of the neck showed a marked esophageal dilatation with the presence of food remnants along its length and the displacement of the trachea to the right. The findings of the upper gastrointestinal endoscopy and manometry were suggestive of esophageal achalasia. Conservative management with total parenteral nutrition (TPN) through a peripheral line proved to be successful. A healthy male baby was born by a cesarean section at 37 weeks. The patient underwent laparoscopic esophageal myotomy and fundoplication seven days postpartum.