A Rare Case of Circumferential Intramural Dissection of the Thoracic Esophagus

Abstract

Esophageal intramural dissection is a rare disease, and whole thoracic esophageal intramural dissection is extremely rare. We report a case of circumferential intramural dissection of the thoracic esophagus, which occurred between the submucosal layer and the muscularis propria layer, with inflammation in the false lumen mimicking esophageal mediastinal fistula in the endoscopic view. The diagnosis was finally confirmed at operation and cured by thoracic esophagectomy.

Key words

Esophageal surgery - computed tomography - CAT scan - pathology - esophageal intramural dissection - esophagectomy

Reference

• 1 Marks I J, Keet A D. Intraluminal rupture of the esophagus.  Br Med J. 1968;  3 536-537
• 2 Phan G Q, Heitmiller R F. Intramural esophageal dissection.  Ann Thorac Surg. 1997;  63 1785-1786
• 3 Jeudy J, Waite S, White C S. Nontraumatic thoracic emergencies.  Radiol Clin North Am. 2006;  44 273-279
• 4 Hsu C C, Changchien C S. Endoscopic and radiological features of intramural esophageal dissection.  Endoscopy. 2001;  33 379-381
• 5 Kim S H, Lee S O. Circumferential intramural esophageal dissection successfully treated by endoscopic procedure and metal stent insertion.  J Gastroenterol. 2005;  40 1065-1069