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An 83 year old lady has always had a hard time swallowing. However, he did not seek medical treatment with strange symptoms. But the time came when the symptoms got worse and she lost nine pounds in one year.
The old woman also suffered from annoying heartburn and chest pain. One day he went to the emergency room to get information that he should have received years ago.
Surprising discovery
X-rays have revealed a surprising cause of the symptoms. The woman’s esophagus was twisted and looked like a corkscrew.
Imaging challenge: An 83-year-old woman presented at the gastroenterology clinic with dysphagia and regurgitation that occurred with every meal associated with postprandial chest pain. For several years she had difficulty swallowing both solids and liquids.
– NEJM (@NEJM) April 25, 2020
Twisting the esophagus (better known as esophageal spasm) is an extremely rare process. The twist is due to the esophagus that narrows and deforms over time.
The woman had to inject botox into her esophagus to avoid excessive twisting. The woman’s condition improved after the injection, but she still has trouble swallowing.
SOURCE
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