Endoscopic incision of a septum in a case of spontaneous intramural dissection of the esophagus.
Intramural dissection of the esophagus is a rare esophageal disorder that is characterized by a long laceration between the esophageal mucosa and submucosa but without perforation. It reveals characteristic radiologic and endoscopic features. The etiology of intramural dissection of the esophagus remains uncertain. The most common presenting symptoms are sudden retrosternal pain, hematemesis, odynophagia, dysphagia, and back pain. Conservative management is usually thought to be adequate. We report a case of spontaneous intramural esophageal dissection, in which the symptom of dysphagia did not improve with the conservative management, and an endoscopic incision of the septum between true and false lumens using a needle-type diathermy knife was done safely and effectively.
Cho
Chang-Min
CM
Department ofInternal Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea. whckd@hitel.net
Ha
Seung-Soo
SS
Tak
Won-Young
WY
Kweon
Young-Oh
YO
Kim
Sung-Kook
SK
Choi
Yong-Hwan
YH
Chung
Joon-Mo
JM
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology; D004935:Esophageal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D005215:Fasting; D006801:Humans; D008297:Male; D010289:Parenteral Nutrition, Total; D014057:Tomography, X-Ray Computed