# Silent but present: a case of Chagas disease-related megaoesophagus diagnosed in a non-endemic setting

## TL;DR

A case of Chagas disease-related megaoesophagus is reported in a non-endemic country, emphasizing the need for awareness in at-risk migrants.

## Contribution

Highlights the first reported case of CD-related megaoesophagus in a non-endemic setting in Europe.

## Key findings

- CD-related megaoesophagus can occur in non-endemic countries due to migration.
- The patient had lived in Italy for 14 years before diagnosis, showing the disease's silent progression.
- The case underscores the importance of considering CD in at-risk individuals with gastrointestinal symptoms.

## Abstract

Due to migration phenomena, Chagas disease (CD) is emerging in Europe, where CD-related gastrointestinal complications are rarely reported. We describe a case of CD-related megaoesophagus in a patient from El Salvador, in Italy since 14 years, highlighting the importance of considering complicated CD in patients at risk with suggestive symptoms.