Esophageal laceration with intramural dissection mimics esophageal perforation
Hui-Chung Wu 1,
Jiun-Yi Hsia 1*,
Chung-Ping Hsu 1
1 Taichung Veterans General Hospital, Taiwan
* To whom correspondence should be addressed. E-mail: hjy{at}vghtc.gov.tw.
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Abstract |
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Esophageal laceration with intramural dissection is a rare type of injury but without perforation. It is difficult to differentiate from esophageal perforation at presentation time. We report the case of a 46-year-old man who was admitted to our hospital complaining of progressive chest pain, dysphagia, and odynophagia after swallowing a fish bone 3 days ago. Esophagoscopy revealed a deep longitudinal laceration with pus discharge in the esophagus. Computed tomography of chest revealed low posterior mediastinal abscess formation. Surgery was performed under the impression of esophageal perforation. The definite diagnosis was esophageal laceration with intramural dissection. Keywords: Esophageal laceration; Intramural dissection; Perforation
