Diffuse idiopathic skeletal hyperostosis (DISH): A cause of dysphagia

Authors

  • Nuno Marçal Interno de Otorrinolaringologia do Hospital de São Marcos - Braga, Portugal
  • Gabriel Pereira Interno de Otorrinolaringologia do Hospital de São Marcos - Braga, Portugal
  • João Soares Interno de Gastroenterologia do Hospital de São Marcos - Braga, Portugal
  • Matos Gonçalves Chefe de Serviço de Otorrinolaringologia do Hospital de São Marcos – Braga, Portugal
  • Tiago Godinho Director de Serviço de Otorrinolaringologia do Hospital de São Marcos – Braga, Portugal

DOI:

https://doi.org/10.34631/sporl.228

Keywords:

Dysphagia, Diffuse Idiopathic Skeletal Hyperostosis, DISH

Abstract

Dysphagia is an important symptom, usually non-specific, meaning difficulty in swallowing. A possible cause of dysphagia is Diffuse Idiopathic Skeletal Hyperostosis (DISH), a disorder characterized by calcification and ossification of the soft tissue, namely of the ligaments and tendons.

We report a case of a 58 year old man with a 4 month history of dysphagia for solids, referred to the ER by a Gastroenterologist for an urgent ENT consult due to lack of progression of the endoscope at the hypopharynx.

A thorough ENT examination verified a protrusion in the left posterior lateral wall of the pharynx obscuring the ispilateral piriform sinus. The CT scan showed calcification of the anterior common longitudinal ligament from C2 to C6 and anterior marginal sclerosis, more exuberant in C3 and C4, deforming the posterior wall of the pharynx. Thus the diagnosis of DISH was obtained.

References

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How to Cite

Marçal, N., Pereira, G., Soares, J., Gonçalves, M., & Godinho, T. (2010). Diffuse idiopathic skeletal hyperostosis (DISH): A cause of dysphagia. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 48(3), 155–157. https://doi.org/10.34631/sporl.228

Issue

Vol. 48 No. 3 (2010): Setembro

Section

Case Report