Achalasia Cardia in Pregnancy Presenting as Hyperemesis Gravidarum in A Rural Kenyan Hospital: A Case Report and Literature Review

Authors

  • Vonwicks C. Onyango St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • Winston O. Makanga St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • Kenneth H. Makokha St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • Dominic Mutua St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • Anne W. Theuri St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • Thomas Kamau St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya
  • William C. Fryda St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

DOI:

https://doi.org/10.47941/ijhmnp.1401

Keywords:

Achalasia cardia, Hyperemesis gravidarum, Dysphagia in Pregnancy, Barium esophagogram, Barium swallow, Heller myotomy, Kenya.

Abstract

Achalasia cardia is a motility disorder of the esophagus characterized by failure of relaxation of the lower esophageal sphincter (LES) during swallowing, resulting in dysphagia, regurgitation symptoms, vomiting, fluid losses, and malnutrition. Achalasia cardia is rare in pregnancy and is often misdiagnosed as hyperemesis gravidarum due to similar symptomatology, usually with significant morbidity and mortality. Definitive management is by surgical myotomy, which should be delayed until after delivery due to concerns about maternal and fetal safety. In this study, we present a case of achalasia cardia in a young primigravida in rural Kenya in the third trimester of pregnancy.

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Author Biographies

Vonwicks C. Onyango, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Consultant Physician, Department of Medicine

Winston O. Makanga, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Consultant Surgeon, Department of Surgery

Kenneth H. Makokha, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Medical Officer, Department of Endoscopy

Dominic Mutua, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Senior Clinical Officer

Anne W. Theuri, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Senior Clinical Officer

Thomas Kamau, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Senior Radiographer, Department of Radiography,

William C. Fryda, St. Joseph Rift Valley Hospital, Gilgil, Nakuru County, Kenya

Chief Physician Haemato-Oncologist

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Published

2023-08-17

How to Cite

Onyango, V. C., Makanga, W. O. ., Makokha, K. H. ., Mutua, . D. ., Theuri , A. W. ., Kamau, T. ., & Fryda, W. C. . (2023). Achalasia Cardia in Pregnancy Presenting as Hyperemesis Gravidarum in A Rural Kenyan Hospital: A Case Report and Literature Review. International Journal of Health, Medicine and Nursing Practice, 5(3), 40–46. https://doi.org/10.47941/ijhmnp.1401

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