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Rare disease
Achalasia cardia in a premature infant
  1. Naveen Shettihalli1,
  2. Vikranth Venugopalan1,
  3. Nicholas Kevin Ives1,
  4. Kokila Lakhoo2
  1. 1Department of Neonatology, John Radcliffe Hospital, Oxford, UK
  2. 2Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK
  1. Correspondence to Naveen Shettihalli, drnaveenshettihalli{at}


Achalasia cardia is defined as a neuromuscular disorder of the oesophagus with abnormal motility and failure of relaxation of the distal oesophagus. It is an uncommon but well-recognised entity in infants and children. However, achalasia in a preterm baby has not been previously described. We report the condition in a premature infant with unusual presentation, treated successfully with Heller's oesophagomyotomy and fundoplication.

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  • Competing interests None.

  • Patient consent Obtained.

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