Presentation
Chest pain and dysphagia
Patient Data
Age: 60 years
Gender: Male
From the case:
Diffuse esophageal spasm
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The normal esophageal peristalsis is interrupted by multiple tertiary, non-peristaltic contractions giving the "corkscrew esophagus".
Case Discussion
"Corkscrew esophagus" is present in only 5% of patients with diffuse esophageal spasm, so the manometer is the gold standard for diagnosis.
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