A case of intramural esophageal dissection in a patient with esophageal web
نویسنده
چکیده
A 50 year female presented with dysphagia for 2 months and retrosternal pain, drooling of saliva, nasal regurgitation, cough, breathlessness, hoarseness of voice, abdominal pain, vomiting, loss of weight or loss of appetite. Upper gastrointestinal ( revealed a web at 17 cm from incisors. abdomen which worsened during swallowing and breathing. Because of rapid development of these symptoms we suspected esophageal perforation/dissection. neutrophilic leukocytosis and o lumen in esophagus and confirmed the diagnosis of esophageal web with esophageal dissection. Patient was treated conservatively with nil per oral and parentera dilated after 2 weeks with Salivary was initiated.
منابع مشابه
INTRAMURAL TRACHEOBRONCHIAL REMNANTS: A MISDIAGNOSED CAUSE OF CONGENITAL ESOPHAGEAL STENOSIS
In cases of congenital esophageal stenosis due to tracheobronchial remnants, symptoms of partial esophageal obstruction appear at the time of weaning or during early childhood. In the absence of esophagitis, esophagram combined with cinefluoroscopy demonstrates fixed stenosis of distal esophagus and appears to be diagnostic. Dilatation of rigid stenosis is invariably unrewarding and surgic...
متن کاملAn unusual complication of eosinophilic esophagitis in an adolescent: intramural esophageal dissection.
Intramural esophageal dissection is a rare complication of eosinophilic esophagitis. Only three cases in adults have been described [1–3]. The residual mucosal septum could be treated with endoscopic section [4,5]. We report on the first pediatric case to be treated conservatively for intramural esophageal dissection due to eosinophilic esophagitis. A 15-year-old boy who was affected by Klinefe...
متن کاملIntramural esophageal dissection associated with esophageal perforation.
Intramural esophageal dissection (IED) is a rare clinical entity involving a mucosal injury and creation of a true and false lumen within the esophagus. We report on a case of IED caused by repeated vomiting due to a small bowel obstruction associated with a small amount of pneumomediastinum on CT. IED has traditionally been believed not to be associated with esophageal perforation. Our case ad...
متن کاملIntramural Dissection of the Esophagus Endoscopic Findings
Intramural esophageal dissection is a rare but well described condition that is characterized by a laceration between the esophageal mucosa and submucosa but without perforation. It is usually associated with a rapid increase in intraesophageal pressure, especially in the presence of coagulation disorder. Intramural esophageal dissection revealed by an upper gastrointestinal endoscopy was repor...
متن کاملIntramural esophageal dissection in a young man with eosinophilic esophagitis.
Intramural esophageal dissection is a rare disorder that should be considered in patients presenting with chest pain, dysphagia, and hematemesis. Although most commonly occurring in elderly women with impaired coagulation, esophageal dissection has also been observed in other demographics including in those with eosinophilic esophagitis. In our report, we present the case of a 19-year-old man w...
متن کامل