Intramural Dissection and Mucosal Laceration of the Esophagus in a Patient Who Was on Antiplatelets Medication : A case report.
- Author:
Kyung Hwa KIM
1
;
Ja Hong KUH
;
Jung Moon LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Korea. jhkuh@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Esophagus;
Dissection
- MeSH:
Anticoagulants;
Chest Pain;
Deglutition Disorders;
Esophagus;
Hemorrhage;
Humans;
Lacerations;
Prognosis;
Rupture
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(5):657-661
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intramural esophageal dissection is a rare disorder that's characterized by a lengthy laceration between the mucosal and submucosal layers of the esophageal wall, and the esophageal wall is without perforation. The three different types of acute esophageal injury are a mucosal tear (Mallory-Weiss syndrome), full-thickness rupture (Boerhaave's syndrome) and intramural esophageal dissection. Most intramural esophageal dissections respond to conservative management with a very good prognosis. This rare condition should be considered in patients who present with acute chest pain, dysphagia or odynophagia, and particularly in the presence of a bleeding disorder or where there has been recent administration of antiplatelet medication, anticoagulants or thrombolytics to avoid inappropriate treatment with surgery. We present here a rare case of intramural dissection of the esophagus that occurred when the patient was taking antiplatelet medication.
