Diffuse esophageal spasm

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Long-standing dysphagia.

Patient Data

Age: 60 years
Gender: Male
Fluoroscopy

Uncoordinated peristalsis with simultaneous contraction is observed in the lower half esophagus causing a corkscrew appearance.

A small-sized hiatal hernia is also present.

Case Discussion

The corkscrew appearance in the esophagus, known as rosary bead esophagus, suggests diffuse/distal esophageal spasm (DOS) which is a motility disorder of the esophagus. It should reminded that only 60% of barium swallows will be abnormal, and <5% will show corkscrew esophagus.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.