title: [A case of congenital chagasic megaesophagus: evolution until death caused by esophageal neoplasm, at 27 years of age].
abstract: A symptomatic megaesophagus was demonstrated in a three months old boy with Chagas disease. He had a difficult evolution with frequent aspiration pneumonias and progressive undernutrition. At 14 years old a cardiomyotomy (Heller's procedure) was performed, with good results that allowed a near normal life. At 27 years old, the patient started with progressive dysphagia due to an epidermoid esophageal carcinoma and died after surgery. Since a higher frequency of esophageal carcinoma is observed in achalasia, periodic endoscopic examinations are mandatory.
authors: Departamento de Parasitología, Facultad de Medicina, Universidad de Chile, Santiago de Chile.
authors: A
authors: A
authors: Atías
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications*; D014355:Chagas Disease / Q000150:complications* / Q000151:congenital; D004931:Esophageal Achalasia / Q000150:complications*; D004938:Esophageal Neoplasms / Q000150:complications*; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male
vernacular_title: Un caso de megaesófago chagásico congénito: evolución hasta su fallecimiento por cáncer del esófago, a los veintisiete años de edad.