Oesophageal dissection: Contrast studies and CT in diagnosis and monitoring

Constantine, Sarah

doi:10.1046/j.0004-8461.2003.01153.x

Cited by 7 publications

(2 citation statements)

References 14 publications

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“…The presence and morphology of the true and false lumina can be observed on transverse and coronal sections of the CT scan. If CT is performed immediately after the intake of the oral contrast agent, the extravasation of the contrast agent can also be observed, which is indicative of esophageal rupture[ 13 , 14 ]. IED is considered a benign disease that is usually treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

Rare spontaneous extensive annular intramural esophageal dissection with endoscopic treatment: A case report

Hu¹,

Zhao²,

Hu³

et al. 2021

WJCC

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BACKGROUND Intramural esophageal dissection (IED) is a rare disease that should be considered in patients with chest pain, dysphagia, and hematemesis. Although it occurs most frequently in older adult women with impaired coagulation or as a sequela of endoscopy, the incidence of spontaneous IED without an obvious causative agent has risen gradually. CASE SUMMARY This report describes a case of extensive annular IED in a 75-year-old male patient who presented with dysphagia for the past month. Esophageal barium meal radiography revealed slow passage of diluted iohexol through the esophagus after swallowing, prominent luminal dilation, obstruction of the lower segment with only a small amount of contrast medium entering the gastric cavity, and no obvious extravasation. Gastroscopy revealed smooth esophageal mucosa; several esophageal mucosal bridges and webbed mucosa were observed approximately 22 cm from the incisor. The mucosal surface was occasionally rough and uneven, and the length of the esophageal mucosal defect exceeded 10 cm. The anatomy was considered to be annular because the mucosal bridge connecting the proximal and distal tube was not attached to the surrounding myotubes. The final diagnosis was spontaneous extensive annular IED. We treated the patient successfully using endoscopic esophagotomy, which completely relieved the symptoms without complications. CONCLUSION Spontaneous annular IED can be treated successfully by endoscopic resection of the mucosal septum between the true and false lumen.

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Section: Discussionmentioning

confidence: 99%

Rare spontaneous extensive annular intramural esophageal dissection with endoscopic treatment: A case report

Hu¹,

Zhao²,

Hu³

et al. 2021

WJCC

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“…It is important to accurately diagnose intramural haematoma of the oesophagus because it can mimic many entities (such as oesophageal neoplasm, myocardial infarction or pulmonary embolism) which may require treatments that are otherwise contraindicated in the presence of a haematoma 6,22,23 . Intramural haematoma of the oesophagus usually presents with sudden onset of retrosternal chest pain, dysphagia and odynophagia 24 .…”

Section: Discussionmentioning

confidence: 99%

Intramural haematoma of the oesophagus presenting as an unusual complication of endotracheal intubation

Yang

et al. 2007

Australasian Radiology

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Intramural haematoma of the oesophagus is an uncommon and under-recognized condition. It may mimic other causes of chest pain, haematemesis, or dysphagia, and hence pose a diagnostic challenge. We report a case of an unusual presentation of intramural haematoma of the oesophagus occurring as a presumed complication of endotracheal intubation. It was disguised as acute onset post-operative chest pain, and resolved with conservative management. Awareness of this uncommon complication is important to allow rapid and timely diagnosis and management. We review the literature, causes and imaging features of this condition.

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