Serial Endoscopic Observation in a Case of Spontaneous Submucosal Dissection of the Esophagus.
- Author:
Chang Soo JANG
1
;
Seok JEONG
;
Yong Sun JEON
;
Sung Tae RYU
;
Jung Il LEE
;
Jin Woo LEE
;
Kye Sook KWON
;
Don Haeng LEE
;
Pum Soo KIM
;
Hyung Gil KIM
;
Yong Woon SHIN
;
Young Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. inos@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Spontaneous submucosal esophageal dissection;
Esophagogastroduodenoscopy
- MeSH:
Aged;
Axis, Cervical Vertebra;
Chest Pain;
Diagnosis;
Endoscopy;
Endoscopy, Digestive System;
Esophagoscopy;
Esophagus*;
Humans;
Prognosis;
Running
- From:Korean Journal of Gastrointestinal Endoscopy
2005;30(1):19-23
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous submucosal esophageal dissection is a rare disorder, characterized by a longitudinal dissection along the axis of the esophagus between submucosa and muscle layer without an obvious cause. The diagnosis is made by typical esophagographic or endoscopic findings which are double-barreled esophagus in esophagography or mucosal defect in upper esophagus and false lumen running along the distal side of the esophagus on esophagoscopy. The condition usually follows a benign course with good prognosis requiring a supportive treatment, but rarely treated by endoscopy or surgery. A 74-year-old man was admitted to our hospital complaining of chest pain and odynophagia after upper respiratory infection. We diagnosed a case of spontaneous submucosal dissection of the esophagus and observed its healing process by series of endoscopy with a conservative treatment.
