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
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author Shah, Akshat Ritesh
Arif, Maaz S
Hussain, We'am
Agrawal, Sangeeta
author_facet Shah, Akshat Ritesh
Arif, Maaz S
Hussain, We'am
Agrawal, Sangeeta
author_sort Shah, Akshat Ritesh
collection PubMed
description 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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spelling pubmed-98404482023-01-17 Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition Shah, Akshat Ritesh Arif, Maaz S Hussain, We'am Agrawal, Sangeeta Cureus Gastroenterology 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. Cureus 2022-12-15 /pmc/articles/PMC9840448/ /pubmed/36654615 http://dx.doi.org/10.7759/cureus.32566 Text en Copyright © 2022, Shah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Shah, Akshat Ritesh
Arif, Maaz S
Hussain, We'am
Agrawal, Sangeeta
Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title_full Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title_fullStr Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title_full_unstemmed Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title_short Butterfly in the Esophagus: A Case Report on a Rare Esophageal Manometry Catheter Malposition
title_sort butterfly in the esophagus: a case report on a rare esophageal manometry catheter malposition
topic Gastroenterology
url 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
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