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Han, Kim, and Kim: Intramural Esophageal Dissection after Endoscopy: A Case Report
Chest Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 65(5): 491-494.

Published online: 30 November 2011

DOI: https://doi.org/10.3348/jksr.2011.65.5.491

Intramural Esophageal Dissection after Endoscopy: A Case Report

Ki Tae Han, MD, Song Soo Kim, MD, Jin Hwan Kim, MD

Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Corresponding author: Song Soo Kim, MD. Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon 301-721, Korea. Tel. 82-42-280-7333, Fax. 82-42-253-0061, haneul88@hanmail.net

Received 13 June 2011       Accepted 24 August 2011

Copyright © 2011 The Korean Society of Radiology

Abstract

Intramural esophageal dissection (IED) is an uncommon disorder characterized by a seperation between the esophageal mucosa and submucosa with or without perforation. IED is usually related with an abrupt increase in intraesophageal pressure, history of recent instrumentation, and a coagulation disorder. We report a case of IED showing extensive dissection into the wall of the stomach, which successfully subsided by conservative treatment.

Keywords: Esophagus, Dissection, Computed Tomography

Figures and Tables

Fig. 1

A initial findings of 45-year-old man with abrupt onset sore throat during gastroendoscopy.

A. A transaxial CT image shows the esophageal double lumen (arrow) in sub-aortic arch level.
B. A sagittal lung window setting CT image shows a long longitudinal canal (arrows) consist of true and false lumen in the thoracic esophagus.
C. A transaxial CT image shows continuous through to the lesser curvature of stomach of submucosal dissection (white arrow) and small amount perigastric pneumoperitoneum (black arrow).
D. Gastrograffin esophagography image shows the typical double-barreled appearance of esophagus.
jksr-65-491-g001
Fig. 2

Follow-up findings after conservative management during 6 days. Esophageal and gastric submucosal air collection with perigastric pneumoperitoneum are disappeared (A, B, C).

jksr-65-491-g002

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