A jackhammer in the gullet: high amplitude oesophageal contractions as a cause of atypical chest pain.

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A jackhammer in the gullet: high amplitude oesophageal contractions as a cause of atypical chest pain.

BMJ Case Rep. 2015;2015

Authors: Goel R, Anggiansah A, Wong T, Wilkinson M

Abstract
Chest pain is a common cause for referral to emergency departments. A proportion of these patients have non-cardiac chest pains with normal investigations. Such patients should be considered for oesophageal studies as these may reveal an underlying dysmotility disorder. We report the case of a 51-year-old man who presented with chest pain and underwent oesophageal studies. He was diagnosed with acid reflux and high amplitude oesophageal contractions, otherwise known as a jackhammer oesophagus. Treatment was successful with omeprazole and glyceryl trinitrate relieving his symptoms.

PMID: 26438674 [PubMed - indexed for MEDLINE]

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