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Diffuse esophageal spasm CT scan

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]

Overview

Chest CT scan may be helpful in the diagnosis of DES. Findings on CT scan suggestive of DES include esophageal wall thickening.

CT scan

  • Chest CT scan may be helpful in the diagnosis of DES. Findings on CT scan suggestive of DES include:
    • Esophageal wall thickening in lower thoracic esophagus (seen in 21% of cases with findings of DES on barium studies). [1]
    • Thickening is smooth, symmetric, circumferential of the distal two-thirds of the esophagus with normal periesophageal fat.[2]

References

  1. Goldberg MF, Levine MS, Torigian DA (2008). “Diffuse esophageal spasm: CT findings in seven patients”. AJR Am J Roentgenol. 191 (3): 758–63. doi:10.2214/AJR.07.3747. PMID 18716106.
  2. Nino-Murcia M, Stark P, Triadafilopoulos G (1997). “Esophageal wall thickening: a CT finding in diffuse esophageal spasm”. J Comput Assist Tomogr. 21 (2): 318–21. PMID 9071309.

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