Abstract
A 61-year-old man visited our clinic with sudden onset of hiccups and vomiting. Following an initial diagnosis of reflux esophagitis, several medications were commenced However, his symptoms worsened, and other symptoms such as appetite loss, sore throat and chestpain appeared during swallowing. He was therefore admitted to our hospital. An upper gastrointestinal series of the esophagus showed a beaded appearance and suggested diffuse esophageal spasms. Although the symptoms were refractory to the medications, they improved remarkabley following a stellate ganglion block.
