title: Spontaneous intramural esophageal dissection: an unusual onset of eosinophilic esophagitis.
abstract: A 35-year-old man, with a history of rhinitis, eczema and a dubious achalasia was admitted due to chest pain and sialorrhea. Upper endoscopy showed a little hole and a narrowing of the distal esophagus. A CT-scan with oral contrast exposed a discontinuity of the lumen of the middle third of the esophagus and a dissection of submucosal space 16 cm long. The patient recovered after parenteral nutrition. After four months, an esophageal endoscopic showed transient whitish exudates, longitudinal furrows and esophageal lacerations. The biopsies illustrated significant eosinophilic inflammation, eosinophilic microabscesses and basal cell hyperplasia.
authors.affiliation: Gastroenterología, Hospital Universitari de Bellvitge, España.
authors.forename: Gemma
authors.initials: G
authors.lastname: Ibáñez-Sanz
authors.affiliation: Aparato digestivo, Hospital de Bellvitge, España.
authors.forename: Lorena
authors.initials: L
authors.lastname: Rodríguez-Alonso
authors.affiliation: Radiología, Hospital de Bellvitge, España.
authors.forename: Natalia M
authors.initials: NM
authors.lastname: Romero
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016099:Endoscopy, Gastrointestinal; D057765:Eosinophilic Esophagitis / Q000000981:diagnostic imaging* / Q000628:therapy*; D004947:Esophagus / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D054328:Proton Pump Inhibitors