Nutcracker Esophagus Causing Noncardiac Chest Pain-Manometric Diagnosis

Dan L.Dumitrascu1, Palaghia Pop2

3rd Medical Department, University of Medicine and Pharmacy “Iuliu Hatieganu”, 1st Polyclinic, Adult Hospital Cluj-Napoca

Abstract

Up to one third of cases of chest pain are caused by disorders of the esophagus. Both gastroesophageal reflux and motility abnormalities may induce noncardiac chest pain. We report here the case of a male subject who complained of thoracic pain after a night of nicotine and coffee abuse. Esophageal manometry detected a pattern suggestive of a diagnosis of nutcracker esophagus, while stress electrocardiography was normal. After administration of retard nitrates, the symptoms and manometric record reverted to normal.