title: Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis.
abstract: Spontaneous esophageal dissection is a rare condition that may happen in patients with eosinophilic esophagitis. Conservative management is an important therapeutic option to be considered. We describe an unusual case of a young man with eosinophilic esophagitis who presented complaining of acute retrosternal pain, fever and vomiting. After a thorough evaluation including CT-scan and esophagogram, circumferential esophageal dissection and mediastinal abscess without visible perforation was observed. Abscess resolution and oral nutrition reintroduction was achieved with non-surgical management. Corticoid therapy was initiated for esophagitis treatment.
authors.affiliation: Service of Thoracic Surgery, Santiago University Hospital, Choupana st. s/n, 15706, Santiago de Compostela, La Coruña, Spain. quirojo@hotmail.com
authors.forename: Jorge
authors.initials: J
authors.lastname: Quiroga
authors.forename: José María G
authors.initials: JM
authors.lastname: Prim
authors.forename: Milagros
authors.initials: M
authors.lastname: Moldes
authors.forename: Ramiro
authors.initials: R
authors.lastname: Ledo
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004750:Enteral Nutrition; D004802:Eosinophilia / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004941:Esophagitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D010288:Parenteral Nutrition; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents