Spontaneous Intramural Full-Length Dissection of Esophagus Treated with Surgical Intervention: Multidetector CT Diagnosis with Multiplanar Reformations and Virtual Endoscopic Display.
10.3348/kjr.2014.15.1.173
- Author:
Eun Kyung KHIL
1
;
Heon LEE
;
Keun HER
Author Information
1. Department of Radiology, Soonchunhyang University Hospital Bucheon, Bucheon 420-767, Korea. acarad@naver.com
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Esophagus;
Intramural dissection;
Abscess;
Computed tomography;
Post-processing techniques
- MeSH:
Esophageal Diseases/*radiography/*surgery;
Esophagoscopy/methods;
Esophagus/injuries/radiography;
Humans;
Male;
Middle Aged;
*Multidetector Computed Tomography;
Rare Diseases/*radiography/*surgery;
Rupture, Spontaneous/radiography/surgery
- From:Korean Journal of Radiology
2014;15(1):173-177
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
