Al-Dujaili Yasir Kawther Hani, Al-Badri Sajjad Ghanim
College of Medicine, Mustansiriyah University, Baghdad, Iraq.
College of Medicine, University of Baghdad, Baghdad, Iraq.
Radiol Case Rep. 2025 Jan 7;20(3):1708-1711. doi: 10.1016/j.radcr.2024.12.008. eCollection 2025 Mar.
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.
弥漫性食管痉挛（DES）是一种罕见的动力障碍性疾病，其特征为食管收缩不协调，常表现为吞咽困难和胸痛。本病例描述了一名70岁男性，他出现了DES的非典型症状，包括间歇性固体食物吞咽困难、餐后呕吐以及冷液体引发的胸痛。最初被误诊为消化不良，经吞钡造影进一步评估发现食管呈“螺旋状”，从而确诊为DES。患者使用硝酸异山梨酯后症状有所改善。该病例强调了影像学检查在诊断DES中的重要性，尤其是对于出现非传统症状的患者，并突出了对这种复杂疾病进行个体化管理的必要性。
