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      Spontaneous esophageal mucosal dissection in a patient with upper digestive bleeding and esophageal varices

      case-report

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          Abstract

          We present a case of mucosal esophageal dissection in a 44–year–old patient with alcoholic cirrhosis admitted for upper digestive bleeding. The endoscopic aspect was of chronic mucosal dissection in the esophagus and 3rd degree esophageal varices with red signs.

          To our knowledge, it is the only case with spontaneous esophageal mucosal dissection and portal hypertension with esophageal varices.

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          Endoscopic incision of a septum in a case of spontaneous intramural dissection of the esophagus.

          Chang Cho, Seung-Soo Ha, Won Tak … (2015)
          Intramural dissection of the esophagus is a rare esophageal disorder that is characterized by a long laceration between the esophageal mucosa and submucosa but without perforation. It reveals characteristic radiologic and endoscopic features. The etiology of intramural dissection of the esophagus remains uncertain. The most common presenting symptoms are sudden retrosternal pain, hematemesis, odynophagia, dysphagia, and back pain. Conservative management is usually thought to be adequate. We report a case of spontaneous intramural esophageal dissection, in which the symptom of dysphagia did not improve with the conservative management, and an endoscopic incision of the septum between true and false lumens using a needle-type diathermy knife was done safely and effectively.
          Article 0 comments Cited 7 times – based on 0 reviews     Review now
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            Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis.

            Jorge Quiroga, Ramiro Ledo, M Ruibal Moldes … (2009)
            Spontaneous esophageal dissection is a rare condition that may happen in patients with eosinophilic esophagitis. Conservative management is an important therapeutic option to be considered. We describe an unusual case of a young man with eosinophilic esophagitis who presented complaining of acute retrosternal pain, fever and vomiting. After a thorough evaluation including CT-scan and esophagogram, circumferential esophageal dissection and mediastinal abscess without visible perforation was observed. Abscess resolution and oral nutrition reintroduction was achieved with non-surgical management. Corticoid therapy was initiated for esophagitis treatment.
            Article 0 comments Cited 4 times – based on 0 reviews     Review now
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              Intramural oesophageal dissection.

              Paige K. Thompson, Inès Goossens-Beumer, Peter G. Devitt (2009)
              Intramural oesophageal dissection is an uncommon but important clinical condition. It often occurs in patients who are anticoagulated, and the clinical presentation may include chest pain, dysphagia and haematemesis. The aim of this review was to determine an appropriate treatment algorithm for patients with suspected intramural oesophageal dissection. We conducted a literature review using PubMed and MedLine up until December 2008. We also reported on our own case series of three patients with intramural oesophageal dissection presenting at two Adelaide hospitals over the past 5 years. Recognition of the risk factors and clinical symptoms associated with this condition is imperative to avoid unnecessary and potentially harmful investigations and therapy. Intramural oesophageal dissection usually follows a benign course requiring conservative therapy only.
              Article 0 comments Cited 3 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Med Life
                Journal ID (publisher-id): JMedLife
                Title: Journal of Medicine and Life
                Publisher: Carol Davila University Press (Romania )
                ISSN (Print): 1844-122X
                ISSN (Electronic): 1844-3117
                Publication date (Print): 15 May 2011
                Publication date (Electronic): 25 May 2011
                Volume: 4
                Issue: 2
                Pages: 182-183
                Affiliations
                simple‘Carol Davila’ University of Medicine and Pharmacy, Bucharest; Internal Medicine and Gastroenterology Department, Emergency University Hospital Bucharest Romania
                Author notes
                Correspondence to:Lucian Negreanu, e-mail Negreanu_99@ 123456yahoo.com
                Article
                Publisher ID: JMedLife-04-182
                PMC ID: 3124266
                PubMed ID: 21776303
                SO-VID: d8c38ef0-a3c5-4095-8189-c94bffa26041
                Copyright © ©Carol Davila University Press
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 March 2011
                Date accepted : 04 May 2011
                Categories
                Subject: Case Presentation

                ScienceOpen disciplines: Medicine
                Keywords: endoscopy,spontaneous esophageal dissection,portal hypertension
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: endoscopy, spontaneous esophageal dissection, portal hypertension

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