Diagnosis of a Case of Achalasia of the Cardiac at the Somine Dolo Hospital in Mopti

We report through this observation the diagnosis of a case of achalasia of the cardia in a 14-year-old adolescent at the Sominé Dolo hospital in Mopti. This was the first case of Achalasia of the cardia out of the 2650 gastroscopies carried out in Mopti from 2018 to 2022. The patient had no particular personal or family medical/surgical history. According to the symptoms, it was classified as Stage 3 of the Eckardt Score. The esogastroduodenal fibroscopy performed revealed a narrowing of the cardia and a jump when passing the endoscope. It was stage II at the time of diagnosis, according to the distension of the body of the esophagus during esophagogastric transit and a Radish tail image at the level of the esophagogastric junction. Frontal chest x-ray showed significant mediastinal widening. However, monomerism (essential examination) inaccessible in our context could not be achieved. The diagnosis of achalasia of the cardia was retained based on clinical, endoscopic and radiological arguments.