Endoscopic and radiological features of intramural esophageal dissection.
A 41-year-old woman was admitted to our hospital complaining of chest pain, dysphagia, and odynophagia after an upper respiratory tract infection and nasogastric tube insertion. An upper endoscopy showed a large submucosal bulge along the posterior wall from the upper esophagus with mucosal tears and bridge formation, extending down to the lower esophagus. A barium esophagogram revealed a "double-barreled" esophagus, and chest computed tomography (CT) scan showed eccentric thickening of the esophageal wall. The diagnosis of intramural esophageal dissection (IED) was made and the patient was managed conservatively with nothing by mouth and intravenous hydration. The clinical course was uneventful; the patient was discharged later and up to the time of writing has been completely asymptomatic, with normal swallowing function.
Hsu
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Dept. of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan. pipi0755@ms23.hinet.net
Changchien
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D000328:Adult; D017609:Barium Compounds; D003287:Contrast Media; D004935:Esophageal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed
D017609:Barium Compounds; D003287:Contrast Media