Diffuse Esophageal Spasm: Corkscrew Esophagus

An 84-year-old man with a 1-year history of progressive dysphagia, regurgitation of food, chest pain, and weight loss presented to our outpatient department. He had no previous cardiovascular or gastrointestinal problems, or history of an allergy. He did not experience ataxia, loss of consciousness, disorientation, or difficulty swallowing. His vital signs were normal. A plain radiograph showed no abnormality. Complete blood examination, including blood chemistry analysis, was unremarkable. Upper gastrointestinal endoscopy revealed circular folds in the distal esophagus (i.e., corkscrew esophagus, Figure 1A).
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research