Spontaneous intramural full-length dissection of esophagus treated with surgical intervention: multidetector CT diagnosis with multiplanar reformations and virtual endoscopic display.
Intramural esophageal dissection (IED) is an uncommon disorder characterized by separation of the mucosal and submucosal layers of the esophagus. Iatrogenic intervention is the most common cause of IED, but spontaneous dissection is rare. We report an unusually complicated case of spontaneous IED that involved the full-length of the esophagus that necessitated surgical intervention due to infection of the false lumen. In this case, chest computed tomography successfully established the diagnosis and aided in pre-operative evaluation with the use of various image post-processing techniques.
Department of Radiology, Soonchunhyang University Hospital Bucheon, Bucheon 420-767, Korea.
Eun Kyung
EK
Khil
Department of Radiology, Soonchunhyang University Hospital Bucheon, Bucheon 420-767, Korea.
Heon
H
Lee
Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital Bucheon, Bucheon 420-767, Korea.
Keun
K
Her
D004935:Esophageal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D035583:Rare Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery
Abscess; Computed tomography; Esophagus; Intramural dissection; Post-processing techniques