Intramural Esophageal Dissection as an Esophageal Emergency

摘要

Esophageal laceration with intramural dissection as an esophageal emergency is rare. At presentation, it is difficult to differentiate this disorder from esophageal perforation. We present the case of a 50-year-old Taiwanese man who was admitted to our institution with symptoms of progressive chest pain and odynophagia for two weeks. Esophagoscopy revealed a deep longitudinal laceration with hemorrhage in the esophagus. Computed tomography of the chest revealed intramural esophageal dissection. An esophagogram showed the absence of esophageal perforation. After supportive treatment with total parenteral nutrition for two weeks, the symptoms resolved, and follow-up esophagoscopy revealed a healed mucosal laceration and disappearance of intramural dissection of the esophagus.