Endoscopic Treatment of Spontaneous Intramural Dissection of the Esophagus: A Case Report.
- Author:
Young Mi YOON
1
;
Jin Hyung PARK
;
Dong Woo HYUN
;
Chang Keun PARK
;
Chang Min CHO
;
Won Young TAK
;
Young Oh KWEON
;
Sung Kook KIM
;
Yong Hwan CHOI
Author Information
1. Department of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea. skkim@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal dissection;
Endoscopic treatment
- MeSH:
Deglutition Disorders;
Diagnosis;
Endoscopy;
Esophagus*;
Hematemesis;
Mediastinitis;
Needles;
Rupture
- From:Korean Journal of Gastrointestinal Endoscopy
2003;27(6):527-530
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intramural dissection of the esophagus is a rare esophageal disorder which reveals characteristic endoscopic and radiologic features. Some authors have recognized that this injury is an intermediate stage between a transmural esophageal rupture (Boerhaave's syndrome) and an esophageal mucosal tear (Mallory-Weiss syndrome). Presenting symptoms are sudden severe retrosternal pain, hematemesis, odynophagia, and dysphagia. The diagnosis is made by contrast esophagography, esophageal endoscopy, or both. Conservative management is usually successful. Surgery should be reserved for the cases of protracted disease or perforation with mediastinitis. We report a case of spontaneous intramural esophageal dissection, in which the symptom of dysphagia did not improve with a conservative management. Then we treated with an endoscopic incision of the septum between the true and false lumens using a needle type papillotome.
