Esophageal intramural pseudodiverticulosis with Mallory-Weiss syndrome: report of a case.
A 62-year-old man with a chief complaint of coughing up blood was revealed to have Mallory-Weiss syndrome with arterial bleeding by gastrointestinal endoscopy at the esophagogastric junction, and two teardrop-shaped fissures were found longitudinally extending into the muscle layer. Endoscopic treatment with ethanol injection and the administration of a thrombin solution spray failed to control the arterial bleeding. Hemostasis was finally archived by suturing the fissures under an open laparotomy. A postoperative barium esophagogram showed multiple flask-shaped outpouchings in the thoracic esophagus, and a diagnosis of esophageal intramural pseudodiverticulosis (EIPD) was thus made. EIPD is usually accompained with esophageal strictures but esophageal bleeding is rare.
Yamamoto
Naoto
N
Department of Surgery, Morimachi Public Hospital, Shizuoka, Japan.
Nakamura
Masaki
M
Tachibana
Shougo
S
Konno
Hiroyuki
H
Nakamura
Satoshi
S
Nishino
Nobuhiko
N
D003937:Diagnosis, Differential; D004936:Diverticulum, Esophageal / Q000150:complications* / Q000175:diagnosis; D004630:Emergencies; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged