Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition

We report the case of a 75-year-old man who underwent high-resolution manometry (HRM) testing for solid food dysphagia after an unrevealing upper endoscopy and biopsies. A barium esophagogram confirmed nonspecific motility disorder. A subsequent HRM study was performed, but when all swallow studies...

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Detalles Bibliográficos
Autores principales: Shah, Akshat Ritesh, Arif, Maaz S, Hussain, We'am, Agrawal, Sangeeta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Gastroenterology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840448/
https://www.ncbi.nlm.nih.gov/pubmed/36654615
http://dx.doi.org/10.7759/cureus.32566
Descripción
Sumario:We report the case of a 75-year-old man who underwent high-resolution manometry (HRM) testing for solid food dysphagia after an unrevealing upper endoscopy and biopsies. A barium esophagogram confirmed nonspecific motility disorder. A subsequent HRM study was performed, but when all swallow studies were noted to fail, and the manometric images revealed a butterfly wings appearance, it was found that the manometry catheter was actually coiled and folded back cephalad. As there are only a few other case reports with similar presentations, we believe this case would serve as a good reminder for clinicians to practice caution when cannulating the manometry catheter.

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