Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review
Diffuse esophageal spasm (DES) is a rare motility disorder characterized by uncoordinated esophageal contractions, often presenting with dysphagia and chest pain. This case describes a 70-year-old male who presented with atypical symptoms of DES, including episodic dysphagia to solids, postprandial...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013724 |
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| author | Yasir Kawther Hani Al-Dujaili Sajjad Ghanim Al-Badri |
| author_facet | Yasir Kawther Hani Al-Dujaili Sajjad Ghanim Al-Badri |
| author_sort | Yasir Kawther Hani Al-Dujaili |
| collection | DOAJ |
| description | Diffuse esophageal spasm (DES) is a rare motility disorder characterized by uncoordinated esophageal contractions, often presenting with dysphagia and chest pain. This case describes a 70-year-old male who presented with atypical symptoms of DES, including episodic dysphagia to solids, postprandial vomiting, and chest pain triggered by cold liquids. Initially misdiagnosed as indigestion, further evaluation with barium swallow imaging revealed a “corkscrew” esophagus, leading to the diagnosis of DES. The patient's symptoms improved with isosorbide dinitrate. This case underscores the importance of imaging in diagnosing DES, particularly in patients presenting with nontraditional symptoms, and highlights the need for individualized management of this complex disorder. |
| format | Article |
| id | doaj-art-662de39a230d4153b3aff90333554ec2 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-662de39a230d4153b3aff90333554ec22025-01-18T05:04:06ZengElsevierRadiology Case Reports1930-04332025-03-0120317081711Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature reviewYasir Kawther Hani Al-Dujaili0Sajjad Ghanim Al-Badri1College of Medicine, Mustansiriyah University, Baghdad, IraqCollege of Medicine, University of Baghdad, Baghdad, Iraq; Corresponding author.Diffuse esophageal spasm (DES) is a rare motility disorder characterized by uncoordinated esophageal contractions, often presenting with dysphagia and chest pain. This case describes a 70-year-old male who presented with atypical symptoms of DES, including episodic dysphagia to solids, postprandial vomiting, and chest pain triggered by cold liquids. Initially misdiagnosed as indigestion, further evaluation with barium swallow imaging revealed a “corkscrew” esophagus, leading to the diagnosis of DES. The patient's symptoms improved with isosorbide dinitrate. This case underscores the importance of imaging in diagnosing DES, particularly in patients presenting with nontraditional symptoms, and highlights the need for individualized management of this complex disorder.http://www.sciencedirect.com/science/article/pii/S1930043324013724Diffuse esophageal spasmCorkscrew esophagusDysphagiaAtypical symptomsBarium swallow |
| spellingShingle | Yasir Kawther Hani Al-Dujaili Sajjad Ghanim Al-Badri Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review Radiology Case Reports Diffuse esophageal spasm Corkscrew esophagus Dysphagia Atypical symptoms Barium swallow |
| title | Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review |
| title_full | Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review |
| title_fullStr | Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review |
| title_full_unstemmed | Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review |
| title_short | Corkscrew esophagus in an elderly patient: A case of diffuse esophageal spasm with literature review |
| title_sort | corkscrew esophagus in an elderly patient a case of diffuse esophageal spasm with literature review |
| topic | Diffuse esophageal spasm Corkscrew esophagus Dysphagia Atypical symptoms Barium swallow |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013724 |
| work_keys_str_mv | AT yasirkawtherhanialdujaili corkscrewesophagusinanelderlypatientacaseofdiffuseesophagealspasmwithliteraturereview AT sajjadghanimalbadri corkscrewesophagusinanelderlypatientacaseofdiffuseesophagealspasmwithliteraturereview |