title: Esophageal laceration with intramural dissection mimics esophageal perforation.
abstract: Esophageal laceration with intramural dissection is a rare type of injury but without perforation. It is difficult to differentiate from esophageal perforation at presentation time. We report the case of a 46-year-old man who was admitted to our hospital complaining of progressive chest pain, dysphagia, and odynophagia after swallowing a fish bone three days prior to admission. Esophagoscopy revealed a deep longitudinal laceration with pus discharge in the esophagus. Computed tomography of the chest revealed low posterior mediastinal abscess formation. Surgery was performed under the impression of esophageal perforation. The definite diagnosis was esophageal laceration with intramural dissection.
authors.affiliation: Department of Surgery, Division of Thoracic Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Hui-Chung
authors.initials: HC
authors.lastname: Wu
authors.forename: Jiun-Yi
authors.initials: JY
authors.lastname: Hsia
authors.forename: Chung-Ping
authors.initials: CP
authors.lastname: Hsu
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000818:Animals; D001842:Bone and Bones; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery; D003951:Diagnostic Errors; D004935:Esophageal Diseases / Q000209:etiology / Q000601:surgery*; D004939:Esophageal Perforation / Q000175:diagnosis*; D004945:Esophagoscopy; D004947:Esophagus / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D022125:Lacerations; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed