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A Hypertensive Peristaltic Disorder of the Esophagus. What’s Your Diagnosis?

A new clinical image from The New England Journal of Medicine presents “An 87-year-old woman with severe retrosternal pain and intermittent dysphagia … Endoscopy revealed a pronounced helical configuration of the esophageal lumen … Because this patient had normal relaxation of the esophagogastric junction, no premature contractions, and a mean distal contractile integral greater than 5000 mm Hg•sec•cm, this motility disorder can be described as nutcracker esophagus.”

View the clinical image and video in NEJM.