気腹評価で痙攣が出現するびまん性食道痙攣

Diffuse esophageal spasm in which twitching appears due to insufflation evaluation.

• Kazuya Sumi
• Akira Ishihara
• Haruhiro Inoue

抄録

80歳の男性が1年来の嚥下障害と2～3ヶ月来の胸痛を呈した．虚血性心疾患の疑いがあり，他院でニトログリセリンによる治療を受けたが症状は改善しなかった．最近、就寝時に胃液が逆流するようになり、当院を受診された。脳から骨盤までのCT検査と冠動脈CT造影検査を行いましたが、異常や悪性腫瘍は認められませんでした。その後、上部消化管内視鏡検査を受けたが、当初は正常なストレート食道が一目瞭然であった。

An 80-year-old man presented with a 1-year history of dysphagia and 2 to 3-months history of chest pain. He was suspected to have ischemic heart disease and was treated with nitroglycerin at another hospital which did not relieve of his symptoms. Recently, he started to have reflux of gastric juice while sleeping, hence, prompting him to seek consult in our hospital. CT scan from the brain to the pelvis and coronary CT angiography were performed which did not reveal any abnormality or malignancy. Patient then underwent upper gastrointestinal endoscopy which initially revealed a normal straight esophagus at a glance.

This article is protected by copyright. All rights reserved.