title: Recurrent spontaneous esophageal dissection.
abstract: BACKGROUND
  Spontaneous esophageal dissection is a rare disorder of the esophagus.
  
  
  METHODS
  We present what is believed to be the first reported case of recurrent esophageal dissection in a previously healthy 33-year-old man with chronic eosinophilic esophagitis. He had two episodes of spontaneous dissection of the midesophagus separated by a 5-month interval. Both episodes responded to treatment with endoscopic intervention. He has remained free of additional recurrences after definitive endoscopic therapy and oral steroid therapy. A complete description of the case, relevant radiologic imaging, and a review of the relevant literature are provided.
  
  
  CONCLUSIONS
  Endoscopic therapy is an option for the management of recurrent esophageal dissection.
authors: Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
authors: Nicholas A
authors: NA
authors: Stephens
authors: Department of Surgery, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA; Michael E. DeBakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A & M University, College Station, TX, USA. shinil.k.shah@uth.tmc.edu.
authors: Shinil K
authors: SK
authors: Shah
authors: Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
authors: Peter A
authors: PA
authors: Walker
authors: Houston Endoscopy and Research Center, Houston, TX, USA.
authors: Vikram
authors: V
authors: Jayanty
authors: Digestive Associates of Houston, PA, Houston, TX, USA.
authors: Isaac
authors: I
authors: Raijman
authors: Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
authors: Kamal
authors: K
authors: Khalil
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004210:Dissection / Q000379:methods*; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed