Sigmoid Esophagus – A Rare Manifestation of Achalasia

Achalasia is an uncommon esophageal motility disorder characterized by the failure of the lower esophageal sphincter to relax in response to swallowing and weak to absent esophageal peristalsis. In advanced stages, the esophagus gets grossly dilated, attaining a sigmoid configuration. We present one such case of sigmoid esophagus due to its rare occurrence. The managed was managed successfully with laparoscopic Heller myotomy.