A Case of Conservatively Resolved Intramural Esophageal Dissection Combined with Pneumomediastinum / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 249-252, 2012.
Article
em Ko
| WPRIM
| ID: wpr-12463
Biblioteca responsável:
WPRO
ABSTRACT
Intramural esophageal dissection (IED) is a rare form of esophageal injury. We report a rare case of spontaneous IED complicated with pneumomediastinum and successfully improved by conservative management. A 46-year-old man presented to the emergency department with chest pain and hematemesis. The endoscopic diagnosis was suspicious of IED. Chest CT scan performed to rule out complication noted IED combined with pneumomediastinum. He was managed conservatively with nil per oral, intravenous antibiotics and parenteral nutrition. Follow up study after 2 weeks later showed near complete resolution of IED. IED should be included in the differential diagnosis for unexplained acute chest pain, especially, associated with dysphagia and hematemesis. IED with pneumomediastinum or mediastinitis require prompt surgery. So far, there is no case report of IED combined with pneumomediastinum which resolved without surgical treatment. In this case, IED combined with pneumomediastinum has improved by conservative management, so we present a case report.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Tomografia Computadorizada por Raios X
/
Hematemese
/
Gastroscopia
/
Doenças do Esôfago
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Enfisema Mediastínico
/
Antibacterianos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2012
Tipo de documento:
Article