Combined esophageal injury complicated by progression to a second perforation: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-09-11

AUTHORS

Andreas Krieg, Christoph Vogt, Uwe Ramp, Ludger W Poll, Martin J Brinkmann, Edwin Bölke, Wolfram T Knoefel, Matthias Peiper

ABSTRACT

INTRODUCTION: Intramural dissection of the esophagus is a rare disorder characterized by a lesion between the submucosa and mucosa dividing the esophagus into a false and true lumen. The etiology of esophageal dissection remains uncertain but it affects predominantly women in their seventies and eighties. Symptoms may include uncharacteristic ones such as retrosternal pain, odynophagia or dysphagia. Conservative management is thought to be adequate and surgery should only be performed if complications such as abscess formation or perforation appear. Here we report the case and surgical management of a combined esophageal perforation and dissection. CASE PRESENTATION: We report the case of a combined esophageal perforation and dissection in a 45-year-old Caucasian woman with a history of relapsing periods of dysphagia since her childhood. The clinical course in this patient was complicated by progression to a second perforation, which made a definitive surgical management by esophagectomy necessary. CONCLUSION: To the best of our knowledge, this is the first reported case of a combined esophageal perforation and dissection complicated by progression to a second perforation. This emphasizes that cautious and intensive observation is necessary in patients with esophageal dissection. More... »

PAGES

9213-9213

References to SciGraph publications

  • 1978-12. Esophageal hematoma associated with thrombocytopenia in GASTROINTESTINAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.4076/1752-1947-3-9213

    DOI

    http://dx.doi.org/10.4076/1752-1947-3-9213

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1018462477

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19918291


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