An Involuntary and Unexpected Treatment of Nutcracker Esophagus

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Presentation transcript:

An Involuntary and Unexpected Treatment of Nutcracker Esophagus Diane Mege, MD, PhD, Alban Benezech, MD, Henri de Lesquen, MD, Véronique Vitton, MD, PhD, Pascal-Alexandre Thomas, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 6, Pages e545-e547 (June 2017) DOI: 10.1016/j.athoracsur.2016.12.053 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 High-resolution esophageal manometry assessment: nutcracker esophagus. Normal pressure into inferior esophageal sphincter, presence of hypertensive peristalsis with mean distal contractile integral greater than 5,000 mm Hg/s/cm, and no swallow distal contractile integral greater than 8000 mm Hg/s/cm. The Annals of Thoracic Surgery 2017 103, e545-e547DOI: (10.1016/j.athoracsur.2016.12.053) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Thoracic computed tomography (CT) with intravascular contrast showing homogeneous mass in right superior mediastinum (white arrow), distinct from esophagus (+) with homogeneous enhancement. The Annals of Thoracic Surgery 2017 103, e545-e547DOI: (10.1016/j.athoracsur.2016.12.053) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions