title: Intramural dissection with mucosal rupture alleviating phlegmonous esophagitis.
abstract: We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis. However, esophageal intramural dissection with mucosal rupture occurred after routine nasogastric-tube insertion, and pus was vomited thereafter. The patient was treated with antibiotics and delayed endoscopic closure of the rupture site and made a full recovery. Although the definite pathogenesis remained unclear, esophageal intramural dissection with mucosal rupture, a possible and rare complication of nasogastric-tube insertion, eventually alleviated the acute phlegmonous esophagitis in our patient.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, Kaohsiung City, Taiwan. dyno910076@hotmail.com
authors.forename: Po-Chih
authors.initials: PC
authors.lastname: Chang
authors.forename: Wen-Lun
authors.initials: WL
authors.lastname: Wang
authors.forename: Tzer-Zen
authors.initials: TZ
authors.lastname: Hwang
authors.forename: Yu-Jen
authors.initials: YJ
authors.lastname: Cheng
mesh_terms: D003680:Deglutition Disorders / Q000209:etiology; D004941:Esophagitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D007710:Klebsiella Infections / Q000000981:diagnostic imaging / Q000628:therapy*; D007711:Klebsiella pneumoniae; D008875:Middle Aged; D009092:Mucous Membrane / Q000293:injuries; D009333:Neck / Q000000981:diagnostic imaging / Q000382:microbiology; D012421:Rupture; D014057:Tomography, X-Ray Computed